HomeMy WebLinkAboutPermit Electrical 1992-10-16
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225 FIFTH STREET 2~~~ifOlJowing proie t ELECTRICAL PERMIT APPLICATION
7 ~"dlng, and d ~J C as subrn' ' q I Lo
SPRINGFIELD, OREGON 9747 approval, De", not req ire mad, ~a$ the fo f\ '\\
INSPECTION REQUEST: 726-3769 ,- specIfiC lan€i!i~w!fBb Number C'i\
OFFICE: 726-3759 ZOning ;'
ome-lo.:.l@ -}-;--CQMPLETE FEE SCHEDULE BELO\l
1. LO<(A'P;O"N, OF INSI~~LAT;I\Q.~orized .' -.
1~'"'\5 n ~\'QJ2 X Slgnatl!r~C~. Nev Residential-Single or
" '-l1u.l.ti-Family per dvelling uni t.
-::::--...
LEGALDJ(SCRIJT.if\ON 0.['\( rv1 Service Included:
\ l D30 \(F-t~ CJJ O( n- Items Cost Sum
J\ JOB AESCRIPTIOt\- 1000 sq. ft. or less $ 85.00
\" \\)1J\0~\ll1,) Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00 I
if vork is not started vithin 180 days Each Manuf'd Home or
of issuance or if vork is suspended for Modular Dvelling
180 days. Service or Feeder $ 40.00
B. Services or Feeders
O\~\~ f) J Install~tion, Alterations or
k.yty ~catlon:
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
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~DJ\i 0
Address P D ~ \ \r
CitylLo.~10f')\\\U~0~e ~4'lo-4D1b
Supervisor License Number ~~~
3'\o.q3'
Constr Contr. Number33Q l &S
\().\,q~
Expiration Date
Expiration Date
Signature of Supervising Electrician
p~tO~ ,
~vners Nam~_R ~l'1\~~~A~ D.
Address \<6\ \q, ((~m .d\ f!
Ci ty ~,rJ- - Phone 14l~ to()(;()
O~ I~TALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~:-:~--(-----F7?~I{tJ~~-~--
RECEIVED D'(: ~ '\ j ).... - -
~J - -
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
\
\
Temporary Services or Feeders
Installation, Altera~ion or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to, 600 amps
amps or 1000
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "D"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Servich
or Feeder Permit \ ~
E.
s.
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
$ 35.00
&~
$
UJ_
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
S 36.00
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