HomeMy WebLinkAboutPermit Electrical 1992-3-23
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225 FI""'" STREET T:::,.!~lIo>:I',(; prel.",," ! ELECTRICAL P'ERHIT APPLICATION
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SPRINGFIELD, OREGON 97477 apPro,.hJ . .. ,",003 f1C11 roquir$ <p~,;a. the fOl/oo.Wu, /1 nT\'
INSPECTION REQUEST: 726-3769 . . . olallcJ~ty J"ob Number '--1i)(( l.. , . .
OFFICE: 726-3759 ' , "toning .
0at.0 ;JJ. =?' ctlMPLETE FEE SCHEDULE BELOV
1, LOCATION OF INSTAL~ SIG -
;'fI,,"9 ~C7Jtl~ ?/c~-- Ilature_ New Residential-Single or
~ Rt~'l ~y per dwelling unit.
~D~GR\rr~~ Service Included:
q(),~!rP't--:t_) Items Cost Sum
JOB DESCRIPTION
C!)/"-;A) El..,-~c.A-t'.
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 ~ontractor\\\Aen~.".SIG.NS
Address Zo<-I JeF'FS:Ev,w 9r.
Ci ty $:..,..0--...,
- .
Phone ~Z.-I'7("'i'
Supervisor License Number 1"7'7'5" \
Expiration Date
10-\-'1'7:>
Cons t r "Con t r. Number (,,<.I (,., I 8
Expiration Date -; --9 - q~
S~ture of Supervising Electrician
'J..\YtLuQ \i? N\ ,QH",",\^d~
Owners Nanie 3r~u~ t..\EER..
Address \~C?q h(,)NEE1< H~LS'1
Ci ty ~INGReu7 PhoneAI..{_O(r,c'/7,
I '
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,
=~-::'5~4,~~-
RECEIVED BY: ~ - -
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
$ 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
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
One Ci-rcu it
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5,
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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