HomeMy WebLinkAboutPermit Electrical 1992-10-13 (2)
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225 FIFTH STREET WCTRICAL PERMIT APPUCATION
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SPRINGFIELD, OREGON 97~f.7,,~ "'!d does no! recw([};r. QH!~dW#f.~oo" II \ D\'":2...
INSPECTION REQUEST : 726-3769 ~O' Ci ty Job Number "' )
OFFICE: 726-3759 Zoning ,
. I ; 'I . j'0 '0 j. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION--=LU- II
'1j?,/,? c'AM€ f"il~ ,~Hllano1uro l~ A. New Resid~ntial-Single or
--fliil't1":Filiiiily per dwelling uni t. ,
Service Included:
l/rn~!J~mN 0 I rf'Y)
\m~~~~~\ J+- q 1'11\(\ /
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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. B.,
,
Electrical C~ntractor Pb~.s ~:rO:C....
Address /0(,<6 W. 2ND All~
CitY,F...<..t,~c:-
Phone ~<{3 - 7<f'l'Z-
Supervisor License Number t. 7/5 S
Expiration Date /P/'/&J3'
Constr Contr. Number 36 ~77
Expiration Date <I !tS/CJ3
Signat
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
-
$ 50.00 '!P-
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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--
Owners Name f!o'1 6Rfi'-l
Address J3 7<7 "l"'AJAJY btZhJ~
CityEu(;~
Phone b'?''B - 6 7CJS
O\INER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------- - 2l!' ---- -------
DATE: . fYJ' (3 '-Ie-
RECEIPT I: --'--- . _ . I ,.,(,l
RECEIVED 1>>.:: Iv r~Y~ ~ I \
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
One Ci,rcui t '
Each Add it i onal
Circuit or with Service
or Feeder Permit q
$ 35.00
$
crl>
2.00 /'if-
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. ' 10 ~
SUBTOTAL OF ABOVE h 0
5%' State Surcharge -; ~
TOTAL 7 ( ~