HomeMy WebLinkAboutPermit Signage 1992-7-20 (2)
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225 FIITII STREET Z, (\ ^)' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OIlEGON 97'177 on ng. \ \ ,~ ' . . n I) ~ r-I
INSPECTION REQUEST: ~~ .CfJ- City Job Number '-1cxL{J. l
OFFICE: 726-3759 Authollnd Sig"alure I ,W "
~ \ , r.OMPLETE FEE SCITEDULE BELOY
1. LOCATION OF INSTALLATION
5101 MAIN 51. U",.e.DoI-IALOS) A.
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. J _ JOB DESCRIPTION
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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.
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2. CONTRACTOR INSTALLATION ONLY B.
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Electrical Contractor 6..U1rHE. SI4r-1 CD.
Add~ess 12 t 0 OA~PAT~H f.O.
Ci ty 6,.J~ ~f...
Phone -rB<; - 5"S 4-6
Supe~viso~ License Number 460 <;.:!
Expiration Date
3- 13 -q3
Constr Contro Numbe~ "2.qo...,
Expiration Date
/t:>-/-'1J
Signature of Supervising Electrician
~ ~ MAIlI<- ~oST~
, Ovne~s Name \~~.(\()'{\(\ QrQ rJ
Address t\C:\LV::~ 6\i '~\~ tJt-
City~Q i Il~hone-
OYNER INSTI ~TIO}D~ .
The installation is being made on
property I ovn vhich is not intended
for sale, lease or ~ent.
Ovnc~s Si(.'llatlll'c:
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RECEIPT Ii: ,-t2.~ \i:F)1 ej';*-,
RECEIVED IIY~6LA 1. -'
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
*
uni t.
Items
Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 ampslvolts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi t ional
Circuit or vith Service
or Feeder Permit
$ 35,00
$ 2.00
E. Hi scellaneous (Service/feeder not included)
-Each installation
Pump o~ irrigation $ 40,00
Sign/Outline Lighting '" $ 40.00 2.40
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
240.0::>
12,00
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