HomeMy WebLinkAboutPermit Electrical 1992-5-12
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225 FIFTH STREET ~~, ,r'';, ,-,:Iv 0 t: V
SPRINGFIELD, OREGON 974iz:p'o~~\' ~
INSPECTION REQUEST: 726-3769 loniOg fj:f!>
OFFICE: 726-3759 \)f,\.________
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1. LOCATION OF INSTALLATWlt,ofi2ed '
~)~ N'G':", o\t Is..
LEGAL DESCRIPTION
11 ()~ :2,?,?, I
(')~I DC>
JOB DESCRIPTION
~ 1"'\1<(0' ~. CAl"L... .10 .
Permits are non-transferablCJ~nd expire
if work is not started within 1BO days
of issuance or if work is suspended for
1BO days.
Ci ty J
OHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
*
Cos t Sum
unit.
$ B5.00
$ 15.00
$ 40.00
or
$ 50.00 ~;9) '-<>
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services Or Feeders
Installation, Alterations
Electrical ContractcW1EGON HEURIC SERVICE Relocation:
Address Po Q:n~ ~I, FJ .{.o P A. (JJ q")~ 200 amps Or less ~
-- '\ 201 amps to 400 amps
Ci ty C-tAo, c ~ 0 Phon~<J,_", - \ l~ Si'L 401 amps to 600 amps
, \ 601 amps to 1000 amps
Supervisor License Number _'3.Q':::".:o=;; Over 1000 amps/volts
I Reconnect Only
Expiration Date lo \0. cl...
C. Temporary' Services or Feeders
Constr Contr. Number~<i<rt") I Installation, Alteration or Relocation
Expiration Date \D\C\~
~ si~i~rv~i~~rician
Owners Name C{(',t! t1o~.f's./ ~^<.(;-
Addre~s /1 J 7 Cl ()o.iL S r' , "!'(A:'j
Phone_1flt::>- <:!J"iJ6
Ci ty e UtJ..tA1 ()
J
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~=6~J?l:. ,q ,)-
RECEIPT lI: HI/J;.;-r
RECEIVED BY: iklta/l/lA
-' ,
Items
1000 sq.ft. Or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service Or Feeder
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ BO.OO
see "B" above
New, Alteration or Extension Per Panel
One Ci,rcui t $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t ~ $ 2: 00 4"""
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE c:::;:L\. ~
5% State Surcharge -~-oo
TOTAL :=::: (~ ')1;)