HomeMy WebLinkAboutPermit Electrical 1992-7-22 (2)
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Tho lo'low!nn project as submltlod haa tho following tif
:''- "C", and doeJ not require specific land use ."
225 FIFTH STRlmT . ",! ELECTRICAL PERIlIT APPLICATION
SPRINGFIELD, OI\EGON 971,71 (lti n II\()('" ~
INSPECrrON REQUEST: 726~3'r~j ~ \.: Ci ty Job Number '1 ~ . ).J/
OFFICE: 726-3759 I'." II.ra ~
t.,.~>:)!,jz.ed Signature p-;t.(
1. LOCATION OF INSTALLATIO~
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JOB DESCRIPTION - c;
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto~~~
.
Addl:ess I?OI ~ vfprlJU J
- J
Ci tY[!~1 Phone.QLa]XOd.- 7
Supervisor License Number ~~~
Expir~tion Date 10\~d-
Constr Contr. Number~~l~
Expiration Date
~Iq&
Signature of Supervising Electrician
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P~~::r1j -
Ovners
Address \ \
Ci ty ~.\
OYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale. lease or rent.
Ovners Signature:
~~~;~--------fl-~!IfI-t1~~----------
RECEIPT II: \.J-/ ,""1,rtJ.O'f
RECEIVED ny: ml}" 1_)
3.
COMPLETE PEE SCUEDULE BELOV
A.
Nev Residential-Single or
Hulti-Family per dvelling
Service Included:
uni to
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps S 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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
---
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t /
Each Add it ional
Circuit or vith Service
or Feeder Permi t ,,;)0
S 35.00 06t:t.l
$ 2.00 LIlJA)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$
$
S
$
'7'5~
F3~
'lA-:7S
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL