HomeMy WebLinkAboutPermit Electrical 1992-9-1
The ;olio\Vi ~
ZOJiin . n fig project t' .;
approe~t.d docs nO! ~:q';,Ubmitte~CTRICAL PERMIT APPLICATION
97477 "~.n.~U/fispeCifiCla;::OlVing qll/ /) IQ
726-3769 Oato Z~n'ng ~i ty Job Number ()(. d f[ )
AlJthorjzo ,. -- llPLETE FEE SCHEDULE BELO\l
1 LOCATION OF INSTALLATION d Slgnatura
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L.~},t j:"VL~5
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB DESCRIPTION
/!Jon IVc(.J
Permits are non-transferable and'expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY- B.
Electrical.~o_nt_ra<:tor t,H.!..lJ1/Jd't~ ~~i.
Address -I8~
Ci ty ~~//J.
~#~l.l&..., <;'TR ~
~
Phone ?4']-C)i'/,
Supervisor License Number ~oo '" S
Expiration Date (CJ -1-'" '2
Constr Contr. Number ~\~~
Expiration Date ~O .~.q3
Signature of Supervising Electrician
~-:- ~~"'~-
Oyners (fame (\~A~. 0-{1 nrv no( _ fTf1LD.
Address ,~14() .91J {(~
Ci ty~~ Phone -
O\INER INSTALLATION
The 'installation is being made on
property I oYn yhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~-------~~-t~~~-------------
RECEI PT II: (()( ) 'i<D I
RECEIVED BY: r'=t-, II /lA\
',-,' / - "------"
ential-Single or
Multi-Family p dyelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dyelling
Service or Feeder
. 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
"
"
unit .
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
'L t'" 0'"
$ 35.00 ~~
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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