HomeMy WebLinkAboutPermit Electrical 1992-4-9
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225 FIFTH STREET Zoning, end "oo~J~~ 6a s~bmlltlld h~~ thijl.~ICAL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 pprovaj, fOqUlfOBplll\ifldlilflflUil \J IRB
INSPECTION REQUEST: 726-3769 Zoning ~ Ci ~y Job Number 9'? 0 5'.3 2--
OFFICE: 726-3759 Oats Ll.flQ~
~ 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION~, INSTALLA~tzOdSlgn8lurel:H.
/t;f ;;;.H~}t<!# /ftc./Wdij/ ... "''''LResidential-Single or
Multi-Famllj per d~elling unit.
LEGAL DESCRIPTION Service Included:
17-t:),....?.&:: ';Z'3, CJ/~6C> Items Cost Sum
,
JOB DESCRIPTION ./ C
t/K'/;7VhZ;;. ,r-~ L.. ~ ->~~ .
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~J~~
Address.~7.rLUX/i~
Ci ty k~ Phone 3Yj'-72f!/
/
Supervisor License Number )?O - /55 '-'
Expiration Date
/rJ-9Z--
Constr Contr. Number
17,}SZ
/()- f- Z.
Expiration Date
Signa~ of supe)Y~ing Electrician
st~U~/1d*
. o~n~ame #/~;. ~~;. .~)l:l>
Address
City
Phone
OVNER INSTALLATION
The 'installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~----~~~:~-~-----------------
RECEIPT #: q~ ~
RECEIVED BY: ........ ~ ~.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D~elling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
$ 85.00
$ 15.00
$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B" above
New, Alteration or
Extension Per Panel
$ 35.00 3S
/
One Circuit
Each Addi tional
Circuit or ~ith Service
or Feeder Permi t . /()
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$
'?x
2.00 ?-v
not included)
$
$
$
$
~5 --
40.00
40.00
20.00
36.00
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