HomeMy WebLinkAboutPermit Electrical 1992-8-20
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225 FIFTH STREET , ,', "'.CIMsubmitlodhos\,EIlEsrmAL PERMIT APC{ICATION C80 Q
SPRINGFIELD, OREGON 97477 ~t:~,:'~;'''~;;~;~~:'~ ~ot .equire speclllc 18n<1 U6 . ~~ : CI\
INSPECTION REQUEST: 726-37~?';,,:;;:,i. . III (\ , City Job Number ,. . " ~.
OFFICE: 726-3759 '_ '0" \' V _ - ,. ,
. . f,f'J\'N rf(\3. COMPLETE FEE SCHEDULE BELOV ,
1. LOCATION OF IN~~ALLATIQN::>" ~...:...'1~-- ~
"61 ~3 m FWJ ~er "='^" ,,;~nalurCA\,likeW-RerldenfiBi-Single or , .
.- Multi-Family per dwelling unit. .'."
\J.,EG."AIH>~PAI~ l"\ADr'\{ Service Included: "
. I ()',..}..""'))'-\\ (J....X ~ Items Cost Sum
I I r ,JOB ~~qqPTION . (J..../ 'I 1000 sq. ft. or less
lJV (;It( Tt:::NFrNr:sDr+u;:, rJ DorYlI f) Each additional 500
. 'F-IO~I~, sq. ft or portion
Permits' are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
'180 days. . Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
~d-~~?triCal ContractorL. t(, 81< IH3n!l-l11,1JJc..
AddresslO~ (A), "r0"~6T
Clty6p4tJ, Phone 747&&3&
Supervisor License Number I ~73S
IOjllt12-
Constr Contr. Number ~0qq
J~II~ lUlL
Expiration Date
Expiration Date
~
Signature of Supervising Electrician
~ //1 ~~
Owners Name m\4-lQ.-r~^ \M&'1aL-
Address 51 ^:) !IY\ fti r0
City ? p,h'D
Phone
1 d,0.rAql,
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
--- .. n- {]' '--------------
DATE: H ..:-.lJ. ,-/ 'd-' ~
RECEIPT II: l (F. ,'-'Yf X/ )
RECEIVED BY: ( AI/ r '1 - I
- J --"
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
S/) ,00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel'
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
One Cf.rcui t
Each Additional.
Circuit or vith Service
or Feeder Permit I I
$ 35.00 35lD
$ 2.00 ;?~, 00
E. Miscellaneous '(Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting ~.
Limited Energy/Res
Limited Energy/Comm
$ 40.00 ~
$ 40.00
$ 20.00
$ 36.00
~,Off
~~
, .
107,00
'5, 3.~
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