HomeMy WebLinkAboutPermit Electrical 1992-10-6
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9~~;;;~~ 'Og~ ELECTRICAL P-ERHIT A;r\C\AT2ION 00
72~_~~1. ~ ~ Job Number '-1 0 0
() _ '"cSi90"t\..>('--~-~OHPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALU\TfoR"
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LEGAL DESCRIPTION O(NO \
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D. Branch Circuits
Owners Name rn. L\c -{.ml' e. 1M-(Ii,r.IO-t1~ --W. Qv-l-"~,,,I'
New, Alteration
Address J I ( ()cJ!~lfa I-e...
Ci ty 'ly\rr!\ f\ el 0\ Phone d]L\, -Rl\ ro
OIlNER INSTALLATION
225 FlITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB DESCRIPTION, k
Bet IAnl"l.)
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 Contracto~(-\'ULled-r\lM(.
Address LlDl NvJ '/ ~..IJ-... ~wt'{-
Ci ty \h(\lO-U)U/' Phone_ (~ ') 'S,ll -13ld/->
Supervisor License Number ~C,~~
Expiration Date \D~ ' ~C13
Constr Contr. Number LLlclo'1~
Expiration Date
~hlC\.j
Signature of Supervising Electrician
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The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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- RECEIPT #: (-f.. ,,:~()~
RECEIVED BY: (~( L
c/
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni to
Items
Cost
Sum
1000 sq.ft. or less .?-L\ $ 85.00 '!JO-iD ,cO
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
v Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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