HomeMy WebLinkAboutPermit Electrical 1992-9-21
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225 FIFTH STREET apprO'ai, ". not reqUlren;,~~~as the fOlloWI~LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 c/anciuse 9 q c-. ",
INSPECTION REQUEST: D~?e6-34g~g~ City Job Number II 1-....0 6
OFFICE: 726-3759 e~
;\~thorized S' 3.
1. LOCATION OF IN~TA{.LATIO~natlXe_ f?i:l.
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LEGAL DESCRIPTION
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JOB DESCRIPTIOW\ _
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Permits are non-transferable and expire
if york is not started vi thin 1BO days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~ Fleck
Address Y<J7 )lw 7 8>fY'. ~t-
Ci ty \j~,^(olA.\Je{ IJAPhone 5)1.{ \366
Supervisor License Number Z'l()q S
Expiration Date 16 - \ - CfG
Constr Contr. Number t.(b~ ,8'
Expiration Date 2. - \ - q:s
Signature of Supervising Electrician
Y:" ,....a/ L1 A?o - P
Ovners Name l'J\c:.\t\el\?-~e. rnecd~S D.
Address n \ fil0 s-t'-' ^ \j e
City CbJ\c..~
Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
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RECEI PT ~: (S) ?-:0l!'<
RECEIVED BY: fA NV'-~
COMPLETE FEE SCHEDULE BELOV
~QV ~sidential-Single or
Multi-Family per dvelling
Service Included:
Items
unit.
Cost
Sum
1000 sq.ft. or less ~ $ 85.00 ~.~
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
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
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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 S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
8'50. ro
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