HomeMy WebLinkAboutPermit Electrical 1992-5-19
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225 FIFTH STREET ~or.\n\j. ~od ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 974fl'7"O"a. . ~ q I
INSPECTION REQUEST: 726_3769-00'" . ~C y-Job Number 71') 7 2..-1,0
OFFICE: 726-3759 ~)- "60
oale eel SI9"o.IU1S 3. COHPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLA'liiUlNl\1.
1210 1t'IAHrLA.J (':t,. A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
,l~Gtt?l)~ O~%-oV
Items
JOB QESCRIPTION 1 ^- ..\- J ml1l'l1lJlJl 1;000 sq. f t. or less
I~ ~t~~.~,,---__uach additional 500
, sq. ft or portion
Permits are non-transferable and expire thereof
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
2. CO~CTOR INSTALLATION ONLY
Electrical Contractor Ct S Pb.D.Pt~,&e.
-. - I
Address~t). ~g~
Cit~tL Phone
Supervisor License Number
.,41-J./)..3tn
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/0 - 1- q'J-..
Constr Contr. Number O?l & Lj.q
Expiration Date
Expiration Date
q -1-q1...,
Signature of Supervising Electrician
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v .' I ,
Ovners Name ~ .-1L.L. 001 nffY\i\ )
Address 19/10 R ;f1.ltf'\..J),,~ tt .
Cit~~A.Iffi%~PhOne 14'7- 5'Qq I
011NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
----------z:------------~--------------
DATE: "./~/'1-'i2__'.
RECEIPT II: Lf {fl 'r/
RECEIVED BY: ~
B.
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
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see fiB"
above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 3~. 00
$ 2.00 'J", 00
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. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
31,00
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