HomeMy WebLinkAboutPermit Signage 1992-5-29
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SPRINGFIELD
225 FIFTn STREET
. SPRINGFIELD, OREGON 91411
INSPEcrION REOUEST: 126-3169
OFFICE: 126-3159
3.
1 ~ LOCAnON OF INSTALLATION '.
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LEGAL DESCRIPTION
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is'not started yithin 180 days
of issuance or if york is. suspended for
180 days. .
2. CONTRACfOR INSTALLAnON ONLY
PJZ.lMAfl.V el &'. g", DTHcl'l.h .
Electrical Contractor (:vIfW~ '7l""",to.
S6<.-0.,",oPtQ..'( .,
Address 12/0 OI'tIC-PA-rz:;.H W.
City
tve,GN€.
Phone
4gS~5r:;4b
"''-0 $1::
Supervisor License Number
Expiration Date
3- ,~ - "i "]
ELECTRICAL PERHrr APPLICAnON '.
Ci ty Job Number' QW)o'6S .
COMPLETE FEE SCIIEDULE BELOV .
Ney Residential-Single or .
Multi-Family per dyelling unit.
Service Included:
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B.
Items
Cost
. Sum
$ 85.00
$ 15:00
$ 35.00 .
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
$ 35.00
$' 60.00
$ 90.00.
$130.00.
$300.00
$ 35.00
C. Temporary Services or Feeders
Constr Contr. Number 20 - 2-5? C-t....t; Installation, Alteration or Relocation
Signature of Supervising Electrician
. /If~/L 7~'
Oyners Name
Address
City Phone
01lNER INSTALLAnON'
The installation is being made on
property .1 ovn vhich is not intended
for. sale, lease or rent.
Ovners Signature:
-
DATE: .c:::, '(~. U(I .__
RECElu .: -~ 'f ., \f ~KlJL./
RECEIVED BY: ' Y-//\...;-~
100 'amps or less
101 amps to 400 amps,
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less $ 35.00
201 amps to 400 amps $ 40.00.
Over 401 to' 600 amps $ 80.00
Over 600 amps or'1000 volts see "0" above
D.
Branch Circuits
Expiration Date
If) - I - '11
Nev; ~lteration or Extension Per Panel
One Circuit
Tvo to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$,50.00
$ 15.00
Miscellaneous (Service/feeder not includ~~
-Each installation . dJGX,I
Pump or irrigation $ 36.0 '_
Sivn/Outline Livhtinlr \ $.;16.00 1 J<-
Signal Circuit or
limited energy panel
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
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