HomeMy WebLinkAboutPermit Electrical 1992-9-28
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The IOllowing ril6' ti..
zoning, and do lOCI as S~b ',ed ha~ Il;' _ .
225 PIITH STREET approval. es not require s ecjfle la:fl.tlfuRIlCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~ I2J I / 'l J;> Cl
INSPECTION REQUEST: 726-3769 Zonin Ci ty Job Number - I d 0 6'
OFFICE: 726-3759 Date,. V ·
Authorii. ed Si ~. COMPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION g~fe__
-, 1\ (In. \<r\.n...\{-' _ ~Je, 5V'r'\,tieJ A. New ResTdential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
\ -1 n -::!, ::::L.'dL\''''-) Orno'3 Items Cos t Sum
JOB DESCRIPTION \lcuni-Is,
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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 B.
Electrical Contract~r-~A-e.r-Elt:('-\-(r'L ,Th(-
Address WOf NLU 79,+3:' .:)\v-c-.+,J-
ct% [rec $""
Ci ty \lrtf1r""-tvo/ -CO"'" Phone ('::)OI"l::/iL! --1'31",1,0
Supervisor License Number
,!)9ms
Expiration Date
10 I, ICJ.:J
Constr Contr. Number L\.loLcf"'6
Expiration Date ;::;J\,IC)~
Signature of Supervising Electrician
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Owners Name yy\Q::hr7>-ie.. \'1\-ec.dc'>lc)'S.
Address \ L \. (')0l.<Alk.l P
City 50<'",""cfc.\ J Phone cCJil..\-'6L1:00
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------Zi------------~--------------
DATE: I/{,Jy.q.).- .
RECEIPT #: . J.P,~J;J._
RECEIVED nY:~
1000 sq.ft. or less lto $ 85.00 \~O,OO
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
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 liB"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
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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