HomeMy WebLinkAboutPermit Electrical 1992-3-12
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225 FIITH STREET BP.P rO\l8...1. fjpeQUlre S C../.fiC land usi~IUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ...oning:
INSPECTION REQUEST: 72f,\~~769.b... .vf~ .C; _ __ City Job Number 9/&7371
OFFICE: 726-3759 _.~. <-/ '
. ;.<.ill1Qfized SIgnature (.-J:{ 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION ~_
~n~ / ~
/2t:::'/ /") 5:7'7'. .b'AI~ h?~ "'3-'~ A. New Resiaential'-Single or
, , , Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/77f?~-2t::.-/~ 0 ~ Items Cost Sum
~
JOB DESCRIPTION
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Permits are no~-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 B.
Electrical Contractor~~/.V~s ~~- .
Address 7?c. e~ /1/
City I="ALL LR~ Phone 7::?~ ...?~S-
- , . --
Supervisor License Number' "" .p675
Expiration Date 1~--/"92-
Constr Contr. Number :? ~~~~
Expiration Date
/L>~5'-92
Signature of Supervising Electrician
~~\p~()
Owners N~e /~ ~~/'/7/~~
-, r, .1. , ,
Address ~~"T 4--~~/~e
Ci ty ?~L? Phone _?~ -~
OWER INSTALLATION
The installati~n is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------------~--------------
DATE:. '3-/-:::?-9'.<
RECEIPT it: 3?~
RECEIVED BY: C ~!. i~
./
1000 sq.ft.or less l/$ 85.00 ~C/-C?
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $40.00
Services or Feeders
Installation, Alterations or
Relocation:
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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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- i 7
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