HomeMy WebLinkAboutPermit Electrical 1992-1-21
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225 FIITH STREET .",::..t;~~>
SPRINGFIELD, OREGON 97477 ,:':'~:"..i' ,,'
INSPECTION REQUEST: 7.26-376.9 ./.':\:0' /~..ty Job Number C1 "':1D()I-/7.
OFFICE: 726-3759 .."'.....;..1\0 ) ./
.j- ;.,' vW/ 3. C PLETE FEE SCHEDULE BELOII ~
1. LOCATION OF INSTALJiTrON ..tfn.-< .11' .
c:,,;).O 'vY\~",.' ..:~\,VVr\j;)A. New Residential-Single or "
','.' " \.JJ'" .,i'''/ Multi-Family per dwelling unit. :
LEGAL DESCRIPTION ,)"', .,,::r"" Service Included: . .
\ J 0.:1 =<.,=<, L/} . Q\qn,:;! Items Cost Sum
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^JOB DESCRIPTION
t:lclrO -;)rl:\J klMP (\^ "" , (:..,
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 RI' ~ (JrJ..tA'.cv '1 Pc
Address del'=:), VVl0\t)^M....
Ci ty q A '6n~O .
Supervisor License
Phone I-i ~c::. .~';)';:L
Number ;It:l/ rE:,
Ib-I.C)::l
Expiration Date
Constr Contr. Number {")y J?, I~
Expiration Date 1'"l...:..IC'"l..?1 I
~
Signature of supe~g Electrician
Jr... (PLJ,,- ~0~
( o;ners ~a-rrieJf)\\ V'\ 01r\tTrt-)
Address ~ D ~ 4-Llo -
Ci ty f) -:(IQ1l SL Phone
OIlNER INl>~ALLATION q-mD
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIn: ii:
RECEIVED DY:
J bll'1"),
2,C}.+ ( "
ILlP-
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations. or
Relocation:
$ 85.00
$ 15.00
$ 40.00
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 amps/volts $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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bu
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
...Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 ~
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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