HomeMy WebLinkAboutPermit Electrical 1992-11-9
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225 FIFTH STREET ,T?~, fOllowing project as submitted ha~/t.i~ICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~~~~~a~nd does ~ot req"iro specific Ian':;' ll~~owmo r; J ' ,...... I r-
INSPECTION REQUEST: 726-3769 C' ( City Job Number VI I J v;)llV""')
OFFICE: 726-3759 Ze'ning__ *~
O"te J I - q - 'l:L 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIONAutttJ, ' - <'"< .
Lt I fll'-\ \MfiiI.~. ~~Rt~~g\.~ n~ New Residential-Single or
. ,. ~ Multi-Family pi!r dwelling uni t.
LEGAL DESCRIPTIO~ ~_ Service Included:
W. -:..,.~ ,IIO~'3'2?;7_ 0('S:CJj Items Cost Sum
e~~~1(O~L..'\.uA~ ~;~rr-s. ~~~~ :ddi~io~:ll~~~ $ 85.00
~.~ sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
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 $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor ~.LJ.,.'..l~ E\..e.~itocation:
Address}?C\ ~CJ.-I.. -::L\S7)~ 200 amps or less
~~~urf' 201 amps to 400 amps
City .,;.:,..:=--\.-, ~ Phone Lf3('-2.'3."S- 401 amps to 600 amps
\ ~ 601 amps to 1000 amps
Supervisor License Number ~ ~'2..~ Over 1000 amps/vol ts
Reconnect Only
Expiration Date,/b(t!cr,
Constr Contr. Number 2..n - ,4..<:::<:"
Expiration Date 10/ 1/'1..7..
. (
Si~3tZing :::ician
o~,,; "", ,,;-*~'"
\
Address tt\ ~'+ f\k~. SA..
City~("~uPU Phone~~<,'"':.~
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent. '
Owners Signature:
~~~;~---l(-:-~-~-Cf~-----------------
RECEIPT iI: In 70 I
RECEIVED BY: li.I~
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 linn
above
New, Alteration or Extension Per Panel
One Circuit ')( $ 35.00 ~C?
Each Addi tiona1
Circuit or with Service
or Feeder Permi t $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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