HomeMy WebLinkAboutPermit Electrical 1992-2-26
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RECEIVED FEB 1 8 tI.~
225 FIFTH STREET =~~IMJ;J.~!-""rKlCAL P'E.RKIT APPLICATION
SPRINGFIELD, OREGON 9747~WI. All . !\a~ q \ ,,<c:::...e
INSPECTION REQUEST: 726-376J:!Jo.9 rld\ Ci ty Job Number I 1<. ).... 1.... )
OFFICE: 726-3759 -zb~- .
tlillll . ';;!,j:7 3. COMPLETE FEE SCHEDULE BELOV
1. ,~2f~(JF 1f1J1S~.... m,- lJo,~ Rp~ioential-Single or *-
Multi-Famfly per dvelling unit. .
\~~4!r CfJ~O Service Included: Items Cost Sum
~OB 9+SClU:P1ION JL
\ l'tJT(\U..l~.J
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~
AddressrO.~S<:~ QN)~ lQot-
Ci ty rJ. -rJ'l~ Phone 4lo \ - CYl1 r
Supervisor License Number ....'~4 ~5::s
~()- \ .C\L
~'7
\1). \ . q n
Expiration Date
Constr Contr. Number
Expiration Date
;:""~: 'ff,~El"'dd=
0",;7,..,& 1\./ 1 r
Address,3.~{J? I.On~ /ti;
City rl7q~oQe ~9
OVNER Ik);TALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Sign~ture: 1/ A
U)..:-uJ. ~I.
~~~~~~~~~---?J)?S~l[~~------~--~
RECEIPT #: . ij . _.:J .bllo.q;+1C
RECEIVED BY: C~Jjl/..JGU
1000 sq.ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dve11ing
Service or Feeder
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
C.
$ 85.00
$ 15.00
$ 40.00
\.
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline. Lighting
Limited Energy/Res
Limited Energy/Corom
On~ Circuit I
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% S ta te Surcharge
TOTAL
$ 35.00 .3~
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
, q,t-). 00
- I. 10<.
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