HomeMy WebLinkAboutPermit Electrical 1992-6-4
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225 FIITO STREET .-, ;;iddoes no: ~UI", specUic k\~&t21'ii.[CAL P'ERHIT APPLICATION
SPRINGFIELD, OREGON 97477 . "",al.
INSPECTION REQUEST: 726-3769 Zoning ~0) City Job Number l"2/Ydr" /
OFFICE: 726-3759 La.ll n ~ ,
- \"- ',- 't--;, ~. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION:~,i"<dSI!'lna:ure Vf'1 >>
~7 / M4:tL_':::r yo".Jjp~ t./ A. New Keslo"..dal-Single or
/7t3G^!:J,~ON(JOZfX) Multi-Family per dwelling unit. - -~
Service Included:
Items Cos t Sum
/,;10B DESCRIPTI~
#-eCI"("'("t"'d~ (,~_ifr
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 I.. If. h.,J,h/iJft-t
Address ;:; >( ~PA.i' (?) ~7'
I
Ci ty S:?n~_-I21 Phone 7(/)- (,,(,38'
/ Supervisor License Number /472,.s
, ,
Expiration Date JO/I/92-
, I
Constr Contr. Number
t? .SlOt r:;.qa
J2,/J ~~:?'"-
Expiration Date
'.
Signature of
. ~ rY.- tf/ /t
O",ners Name U"''''y rK.
Address t. ~ (J.2,AJ.
S:1'
Supervising Electrician
A~
~~.J",,- s:':.._
~
Ci ty ~fcl~.r.~1J
Phone 7<V'/. C:'-;'-S'lf'
OVNER INSTALLATION
The 'installation is being made on
property I own ",hich is not intended
for sale, lease or rent.
Ovners Signature:
----------------~- -----~--------------
DATE: ~ ;Z/'J Z-
RECEIPT 1I: d~-2 =3
RECEIVED BY: :'#>r"~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D",elling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit / __ $ 35.00 35
Each Additional,
Circuit or ",ith Service
or Feeder Permi t rl $ 2: 00 k
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 &."7,00
5% Sta te Surcharge ~ .1'.5
TOTAL '7 2,~"
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