HomeMy WebLinkAboutPermit Electrical 1992-12-30
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. ".', - 'V""',vl'c~:%~"'}':<l1>8S ELECTRICAL PERMIT APPLICATION
9747,7 2'~nlng C (" P'C/iiC/,,~afo/{OIW.
7'26:"3769 II~~ lIse Citr Job Number
A."thof' ------'::t:;J<J'3 .~ '
"'ad SiGn"!,,, I~..... 3. COMPLETE FEE SCHEDULE BELO~
1. LOCATION OP INSTALLATION a ~ Cl '" q:;)
1)'11,17 M A {j./' S-& . Ne'r'Residen tial-Single or
i-Family per ~welling unit.
Servic Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726~3759
4~ Dl::S9l,IPTION
{ 1'0?=:'-:5 :;2,-d I
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JOB DESCRIPTION
I,JA/I C;/~"" Ar
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500..
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
q ~J 57/
*
Items
Sum
Cost
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
. () " 1
Electncal Contractor .)I.A.N 7.".1:. S.!J~ or Re ocation:
,
Address f-lS'.s-'/ q iJ tile 1.1 LA M'"
,
Ci ty f).{ Po e}./ p
Phone '7 '-I /, - ry II 17
Supervisor License Number ~~ ~ ~
Expiration Date -J/a:T' - /{}-)-9,:,.
Cons tIC Con t r. Number p,n LI .z. '%
Expiration Date /O-I-Q/n
'.
Signature of Supervising Electrician
2?A/;' f! 07.L7-h'?
Owners Name,K'", V EN'", ^'" /-' A/
.'
Address.5"7/.. '7 /VIA IA/ ,<;r
C. "''' Ph
1 ty -1' h I AI,: "fe'_ f..d one '74 '7 -/4 /., 78
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: J { -C,_ q::>.,
RECEIPT ,: v iD! q I
RECEIVED BY: I ~
l\
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$-40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
. $ 40.00
$ 55.00
$ 80.00
volts see IIBII above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$. 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting~ $ 40.00 Yo.CO
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE l.fO..07)
5% State Surcharge '7,?X)
TOTAL