HomeMy WebLinkAboutPermit Electrical 1992-2-19
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225 FIFTH STREET ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 q A- 0
INSPECTION REQUEST: 726-376?olIoWlngprojeCllIIl\lbl11lllecllla~b Number \ \, l-\
OFFICE: 726-3759 ~I"g. en<l cIWa riolrequlre opeolIollnd"
apprcval. , .Ml\n'3., COMPLETE FEE SCHEDULE BELOV
1. 1 ~OCATIO~ pF ~I(i.I.1'g,<tN _ .~l.)~
I~*--V"\-\..Q l.AlN\l ~. .[f{p. New Residential-Single or
ttt Multi-Family \ler dllelling uni t.
\\fS~~~~~PTI\O~SlgMIUf& :,-..:~c ~""~\1ded: Items Cost
~ JOB D~SCRIPTION
I l-~~\~
Permits are non-transferable and expire
if 1I0rk is not started lIithin 180 days
of issuance or if work is suspended for
180 days.
4tJ!:Ac-< IT \1000 sq.ft. or less
.oq() lI--uZ ..QCl,)Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor \\C\l)e~<s fJ OJ"l
Address 4fL.~f)!L ~\\:X. rn-?_ \ €.. M~
Ci ty 09fVl Phone PA\o ~YL
\P:rl\S
\\), \. q0-
Constr Contr. Number \~~~
~O . 2-D ,qf2-
Supervisor License Number
Expiration Date
Expiration Date
Signat~of S~ising Electrician
X -1/ ~~;~O
ow:e:s Name \<1(1\'1(\ n rl 0nnm\o!UD.
Address.8Q5.~~ Q \ n,D l\SXlo J\(',
Ci ty \). ni QO ~Phone '1'\-\ - 1_11:3
I
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~::-:~-N~-f1i!~~--~'~~1-~D-
RECEIVED BY: M"-IA'-")
Sum
~ $ 85.00
A $ 15.00
$ 40.00
/70
YJ
Servi~es o~ Feeders
Installation, Alterations or
Relocation:
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
B.
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
New, Alteration or Extension Per Panel
One Circu it
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
J)['iJ. CD
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