HomeMy WebLinkAboutPermit Electrical 1992-2-24
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225 FIITH STREET ~ <t.( O'~~
SPRINGFIELD, OREGON 97477 0", '>0; "" 0 7/
INSPECTION REQUEST: 726-37~ ~~ ~~4.. Ci ty Job Number -/;2 oz::; Ie>
OFFICE: 726-3759 'Qo ...:""~
~~,... .~ O~~~ .FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATIPN..,. ~~
S-c, 20 n c- u., sf.- Resi . aI-Single or
Multi-Family er dvelling unit.
Service Included:
1000 ~.ft. or less.
Each additional 500
sq. ft or portion
thereof I $ 15.00
Each Manuf'd Home o~-
Modular Dvelling . .....
Service or Feeder $ 40.00
. . fI/
B. Services or Feeders. .
_( Installation, Alterations or
Electrical Contractor C C<~ .s i:: eCkrc.:..idl.elocation:
Address :lllto Ce..l-ul'1'.:L /3., -it!; 200 amps or less
201 amps to 400 amps
Phone J'-r f{- 2..- 2----:16 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
LEGAL DESCRIPTION
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JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
C i t y e U'i.#'L
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Constr Contr. Number t93 ~'7
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Signature of Supervising Electrician
C2-n/~/.a,.p~
Ovners Name
Supervisor License Number
Expiration Date
Expiration Date
Address
Ci ty
Phone
OI/NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.Owners Signature:
---------------------------------------
DATE: 2 - 2..-1 - 5'<"
1\L\ot.l.n. 11: <? S;o 7
RECEIVED BY: -4~
Items
Cost
Sum
$ 85.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
/
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201.amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above (
Nev, Alteration or Extension Per Panel
One Circuit I I $ 35.00 5~-
-.
Each Addi tional
Circuit or vith servic~ 40-
or Feeder Permit 0 $ 2.00
E. Miscellaneous (Serviceffeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline. Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited EnergyfComm $ 36.00
5. SUBTOTAL OF ABOVE
5% S ta te Surcharge
TOTAL
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