HomeMy WebLinkAboutPermit Electrical 1992-8-10
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,,,e following project os submll1ed ~os the f ,a...
zoning, and does not raqulre specIfic land u ~,
approval. _ ~CTRICAL P'ERKIT APPLICATION
Ci ty Job Number 9.2/ d ibf!,
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Authorized Slg""3'le
1. LOCATION OF INSTALLATION
~ :? 5 5 t!I!f17'r .--:: / ,.:;, 1.A. J
LEGAL DESCRIPTION
/7&3 :2 7 24 z:ra-o
JOB DESCRIPTION
::S(J, o/A-fS 1MJ>? #~ AdrK//li()?
Permits are non-transferable and expire
if ~ork is not started within 180 days
of issuance or if ~ork is suspended for
180 days.
2~ CONTRACTOR INSTALLATION ONLY
('Electrical Contractor Al~.#~,' ~
'Address ~,,-:(" /.AJ/2-.;tA c:- r
City ~<' Phone (;<(,1b-6fP1"1
,
Supervisor License Number '1'(/6 S'
Expiration Date /1///")-
Constr Contr. Number c::;.~/""7
,(EXPiration Date 10/2 Y9L
, 1;'""''lJj;I~~~'' ~
I
O~ners Name ..JU 11'1 &U/AlJ
Address ? J <:, S"c....U.l e:r 65vA)
City
~p;t
Phone ?-I/-~7<Jc,
OllNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
O~ers Signature:
~~:~::-:~-----~~~~~2C-----------
RECEIVED BY: ~~
O(
lHieHEDULE BELOIl
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cost Sum
1000 sq. ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular D~elling
Service or Feeder $ 40.00
B. 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 lOOO 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
D.
Branch Circuits
S 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
3.:::-, <N>
One Circu.i t .....-- $ 35.00 '"
Each Additional
Circuit or ~ith Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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