HomeMy WebLinkAboutPermit Electrical 1992-6-4
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225 FIITH STREET. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 !~:;':,~'C'Nill~prOjeclnoo~:',"I:~.:lhootilefu';cr". q 44?i
1. LOCATION OF INSTALLATION" l~O~4~ ' -3'.-COHPLETE FEE SCHEDULE BELOII ...
5610 ~~/I/ t'''''''.';'''O''''''''M'''':> l~ New Residential-Single or ..,.
- Hul-H'-Family,per dwelling uni t. ..
Service Included:
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~ ~
Address Q () \?-{W J ~V
City ~t(~ Phone\41-~??G
Supervisor License Number \ 1.0 ~LR~
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Expiration Date
Constr Contr. Number--.t)3~~
q.f.Q;:0
Expiration Date
Signature of Supervising Electrician
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Address:O J <(Z S lAJ~ .
Ci ty S)Q~ Phone&~(,.,' QloltiS
OIlNER IQSTALLATION
a
Owners
The .installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT #: \ 0 . --"\X'X~
RECEIVED BY: c-.i\t1'(} ..J
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t 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 "B"
above
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/outline Lighting
Limited Energy/Res
Limi ted Energy /Co'mm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
, TOTAL
BwoP
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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