HomeMy WebLinkAboutPermit Electrical 1992-8-20
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225 FIITH STREET . I!cnG'lRl AL PERMIT APPLICATION
SPRINGFIELD, OREGON 974770nlng 1- (] V\\\d-,{l
INSPECTION REQUEST: 726-3769.a - City Job Number ~\~ .~.~
OFFICE: 726-3759 A ' .I:+...~ ..
. Ulhorj~cd Slgnatura~,.lJ' COMPLETE FEE SCHEDULE BELOV
1. I,.9C_A'fIONPIf INSTA\oLAT!Oli _ . - _
~LfQb' OlUmt?ffl_ ~ A. New Residential-Single or
'I I Hulti-Family per dwelling unit.
Service Included:
,\~~?\ () \q'~
JOB DESCRI17.19~
-rf\I~-rAt:L- Y< .V. rZeee:p I iP JJ?;0
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 ContractorL.~, ~L
Address ro~ I;,J II ()' s.J-1.L
City Sl~ . Phonel4-1. &&3R
Supervisor License Number /4.T3S
Expiration Date IDI \ \012-
Constr Contr. Number ~(oqt:j
1J,1/~1C1L.
Expiration Date
\
~ Signature of Supervising Electrician
1\ '~{;'~ b;,?J/. D.
Owners Namef~W k1WDrrJJ~
Address~~?" O~mOLL
City ~I~ ~rA Pho~e 14(, .1&101
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: -----~----~~:S(~-~-------
RECEIPT II: \,.:... tl~', h,(.1 ':--VI
RECEIVED Bq 1 !. ~)--. I
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
'Modular Dwelling
Service or Feeder
.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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "8"
above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
New, Alteration or Extension Per Panel
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.0035.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
35,00
l.l~
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