HomeMy WebLinkAboutPermit Electrical 1992-4-24
SI.IIINCr-IELO
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LqcATION OF INSTALLATI9N
(O)~() r--PiI~ L~Q'/A_
LEGAL DESCRlPTIO~Z/r ~
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~i~~~ON ~ (l A'vev)-J3.
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~(jj1AfYL 13-ed--
Address S1;: :::f!f.o J/>fflp 12A::'rlwvvt ~
Ci ty ?fA d Phone -74-7-bt8j
~ ~C'
Supervisor License Number? / /1 ...)
Expiration Date lO ~ [ -0; 1_
Gonstr Contr. Number 7 0~7)
Expiration Date
q -q --1'2
Signllmp ~
Ovners Name ,.JjM\.1)u..(l.e!
Address (t? 7_ V F-eI--V1. ~
Ci ty V'f d Phone:11:.7 ~ FEf
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~------[[~~~~---------------
RECEI;; ii: Li iJ ~
RECEIVED ny: /U A-t..\A.O
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
. , .
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
Items 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
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 "Bit
above
Nev, Alteration or Extension Per Panel
One Circui t $ 35. 00 3t7.~
Each Additional
Circuit or vith Service
or Feeder Permit ~~ $ 2.00 ~
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
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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