HomeMy WebLinkAboutPermit Electrical 1992-8-7
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ne following project' b. .
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225 FIITH STREET a. ELECTR L PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ...?onlngl!y\ \ fl (\ If5"n
INSPECTION REQUEST: 726-3769 Date~ ~l(Y Job Number L/\ .(A \ I I ~I
OFFICE: 726-3759 II \ *
Authorized Slgna{\lce. ",l2IDfi'LETE FEE SCHEDULE BELOV . ...
1. LOCATION OF INSTALLATION
l/6B t -A MA IN S T, $ r F 1..1::> A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
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JOB DESCRIPTION
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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 R. L.., <;C.rI"'ITt
Add ress ? /30 Pic V~'7'" '" (/, irW D ~
Ci ty E v 6 ,
Phone> "1-/- &6gif
Supervisor License Number 6 1. I - S
Expiration Date
/t>-I-Cl7.-
Constr Contr. Number 2.0 -"). ....,- '-
Expiration Date
/0-1-"'r1-
.Signature of Supervising Electrician
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Owners Name Li?Si-ll-- u)~......c.'c)J..,.J
Address)77 jO, blS"Il!. PL
Ci ty <) f'P'-D
Phone'l/.fb-0355
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~;~~==-~~~~~-~~----~--------
RECEIP! I: b') _ _ v)'-h~Ct-
RECEIVED BY: )// YA- - \
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Items
Cost
Sum
1000.sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less l
\ 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
(6.~"
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 $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t ~ $ 2.00
4"~
E. Miscellaneous (Service/feeder not included)
. -Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited EnergylComm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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