HomeMy WebLinkAboutPermit Electrical 1992-01-17C'TY OF
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ELECTRICAL PERHIT APPLICATION225 FTFTE STREEI
SPRINGFIELD, oREGoN
INSPECTION RBQTIBST:
oPHICE: 726-3759
1
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97477
726-3769.
LOCATION OT INSTALI.ATION
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Ci Job Nunber
FEE SCBEDULE BELOV
Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Hanuf,d Home or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocation:
..: ..q 700\13
3
Sum
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Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for
180 days.
Z. COIITRACTOR INSTALI^ATION ONLY B.
Electricar contractor R*-,; [" ,,- l7['.{
Address lklLB L')'".Lu,4AJ
Ci ty F^_[t C,Phone 7n6 =3/
Supervisor License Ndmber 3q tAS
Exp iration Date l1 ,13
constr contr. Number 65-rlt c
ExpirationDate 4-'l\
S ture of ising ectrician
N e S+e v^ €h q
Temporary Services or FeedersInstallation, Alteration or Reloeation
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
200 amps or less
201 amps to 400 arnps
-401 amps to 600 amps
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nly
One Circui t I
Each Addi t ional
Circuit or vith Service
or Feeder Permi t
200 amps or less $ 40.00
0ver 401. to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "B'r above
$ s0.00
$ 60.00
$ 100. 00
$130.00
s300.00
$ 40.00
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SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
$ gs. oo zL
s 2.00
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hone
OVNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
E. Miscellaneous (Service/feeder not included)
-Eaeh installation
Pump or irrigation $
Sign/outIine Lighting- S
Limited Energy/Res S
Limited Energy/Comm $
00
00
00
00
40
40
20
36
RECEIVED BY:
L
-42-5
4b,75
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