HomeMy WebLinkAboutPermit Electrical 1992-3-6
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'" PIFTII STIU!ET ....,,~ i-~-:":::~CAL '''''IT APPLICATION
SPRINGFIELD, OREGON 97477 Zonin q Il() I C::.C:::.
INSPECTION REQUEST: 72~69 (' 2! . Ci ty Job Number ry, ~ 'L )
OFFICE: 726-3759 - -=.
,. _A~ O,?7'~)']tc~: COMPLETE FEE SCHEDULE BELOV
(j([,JLf( ) (~~ I-It{ ~ New He~ldtntial-Single or
Multi-Family per dwelling unit.
rf'e~f~3~r\IO n,l 00 Service Included: Items .Cost
.qJ0~ DE~CRI~IONf\ '0
~ru \ ('0 W.-t\ A L
Permits are non-transferabl~d expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALrfION ONLY
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Address6J'?~ (10 J1lS1jJj Q.
Ci ty ~J. Xl 0 170 J Phone :.54, ~- '72/17
Supervisor bJcense Number c{7C:;~~
In .I.qt;j
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Constr Contr. Number I~~~~
9 'S.q~ )
Expiration Date
Expiration Date
IS)9f"ature of Supervising Electrician
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Address ;:)()9() (()}LF!K')
City ~ Phone
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------i/:L.--.-r----- ~ / - -----------
DATE: J o.<q~~,
RECEIPT II: ~ , ~~"") '1
RECEIVED BY: (~j '( ~
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
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
\,
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci.rcu it
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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