HomeMy WebLinkAboutPermit Electrical 1992-10-26 (2)
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225 FIFTD ~1~~1 h~~~CAL PERKIT APPLICATION.
SPRINGFIELD, OREGON 97477 submtttBdh.;~~oduse . ~I
INSPECTION REQUEST: 726-37~o.I' no,^,n9 P(ojOC\~quire spacIII Ci ty Job Number q ~I q.. 9 D
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(UJLP J\~"=/; 0' ~H.ciL \ -N)J. .coMPf:ETE PEE SCREDULE BELOV
1. LOCATION OF IN~ALLATION Z~~~:;L<6-'1:""
_()./#fl. ~'Tr'F1I'vt: Sf AT 4C!7Sz.,~. New Resi~-l"-Single or
. t' --~, ./ I CO\9__ t "0 ~ 'u"~ily per dwelling uni to
c\gna""-' ~
LEGAL DESCRIPTION -1_ ~u~o~zod~ Service Included:
/7?J 3 g'5 2- J '7'""?C:rO . Items Cost Sum
JOB DESCRIPTION
A/;;UJ ') ,F" ./f/ti / ~E
Permits are non-transferable and expire
if work is not started within 1BO days
of issuance or if work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Nani~~tJ ~ ~ 1\ {1;(
Address c9 ~ ~a ('!\il
Ci ty r~ nW ~hone
O~ IN~ALLATION --
~ i n::;
i(qn~0t .
~ -47Tf5
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,J:I-2J;:~ -1J 14rnJ. -
______________________L_~______________
DATE: /0 -2e" - '7 2
Rr.'-~J.~" ii: - /-.. ') % 0
RECEIVED BY: ~b7~
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
$ B5.00
$ 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 I~ $ 40.00 4tJ.CJO
201 amps to 400 amps $ 55.00
Over 401 fo 600 amps $ 80.00
Over 600 amps or 1000 volts see uB" above
Branch Circuits
D.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE M,OO
5% State Surcharge . Q.cNP
TOTAL 4200