HomeMy WebLinkAboutPermit Electrical 1992-5-26
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225 FIFTH STREET ""'. t::::-.'1 d., I 'Y!) ~'i:~!'''/Ii' ELECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON 9747~.. '>..<...J.y /lLJ, """ii./~"!i.';. , nf\A' -(1"
INSPECTION REQUEST: 726-31",: ~ .~?, : '''QH.y;,}.?b Number ~ JUJ _ J
OFFICE: 726-3759 ~,.".o,7G~* ~" I.
1. Lq~T};OfLOF I~T~MT~O~/'l. ~r!'I:x;9MPLETE FEE SCHEDULE BELOV
\1 ft'0 l J.O.AJOs.....,U.A..}i1c1D ~~ew Residential-Single or
- . . ,_ ~ i \ I MuibtJ-Family per dwelling uni t.
rt~~~L'D {)..::J.J:-J Service Included: Items Cost
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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 INSTALLA~IION ONLY B.
Electrical Contractor ~ \LIlIf\. '6- E.1ct
Address Q() ~ ~- )
Ci tyti\~i 0 1\ ~ Phone 12-lo-1<6Q 5
Supervisor Licen~e Number ~
ID. \ ,q2..
Expiration Date
Constr Contr. Number ~3 \0 I
Expiration Date \ (). :S. Cf'2-
Signature of Supervising Electrician
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1)('Ns ~~~i\~(\Ol,d ~ X'W) ~ D.
Addre~ ~TI' \(C)[)\ O-t': \\" ..
City~. PhoneL/6%-o\~O
OVNER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
=C:;~?l n [,1''7;-- _
RECEIPT II: . fI,. _ ~,4Vl
RECEIVED By:r=r-,(j lI\-..,/
DATE:
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Branch Circuits
New, Alteration
or Extension Per Panel ~
I $ 35.00 <..~.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40..00
$ 40.00
$ 20.00
$ 36.00
35.r?
-L..1~
3.IQ2J.'J
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL