HomeMy WebLinkAboutPermit Electrical 1992-7-10
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225 FIITH STREET to~~~IO'Ning prOject ae!> ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Ilppro~ an" doss nOl req:a";.lttod hae Ihe folio
INSPECTION REQUEST: 726-3769 f'eclftc ~~<tyoQ}~Number 92 D 5' S:-D
OFFICE: 726-3759 Zonin
Oats . I E FEE SCHEDULE BELOV
1. LOCATION OF INSTALLAT.rOJlutho.~Sisn.a
.at! ~C?lfB> J3R~_/~, !uTa New Residential-Single or
'1 per dwelling unit.
LEGAL DESCRIPTION Service Inclu ed:
J?//7..~<;" <2.. A?./..l7O Items Cost Sum
JOB DESCRIPTION
~{>\Il<''' 1t-h-9 ~Cl"'-~'" R..rol ~/~p'
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
Electrical Contractorll'1()j1~_f:~'n.r r2H:re1l..
Address 322::5 c..~cc~ ~
Ci ty k<Ln-"-'" PhoneloS:f' /7';?r
",J
Supervisor
Expiration
License Number :~S"63 S
,
Date ;c>~Az.
Constr Contr. Number 72r,s'1
Expiration Date I';?- /3- 92...
Sign" of SUp~~g Electrician
c~~
Owners Nallie ~uAlct \I\'\d()(l~~
Address 24 }femE6/:' aWl-( oJ
(1 ;,.
Ci ty . S'J/1I1'~ ,!-t6-(.t::> Phone
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
NDATE:
RECEIPT I:
RECEIVED BY:
./
7/f"'C? /97
C:04
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- "
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
C.
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
)(
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
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 Circui t
Each Add i t ional
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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