HomeMy WebLinkAboutPermit Electrical 1992-6-30
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aPProval, D()u~O specnlc land 'lmEC1%.ICAL PERIlIT APPLICATION
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726-&7.e.9 \0. ':b.9 2:., Ci ty Job Number 92.e::> '7t:!!>/
Authorized Signature (Ii;{ 3 . COMPLETE FEE SCHEDULE BELOV
LOCArIO~ OF INSTALLATION
gn~ n I yrlO rl I A. New Residential-Single or
O' Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
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JOB DESCRIPTION
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225 FIITO STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
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 INSTALLATION ONLY
Electrical contractor~ P6oo~',n \~.
Address p.O. ~1--..
CitY~ Phonerr4J -1.?--3lo
Supervisor License Number 1/.,51 bS
Expiration Date /0 -I -qlJ-.
Constr Contr. Number O;q~"-q
Expiration Date
q -I-q~
;n;:;;o;!ng ~ctrician
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Owners Name~ni\\oru.o ,lJ..Un~ .
Address g~~O ~tr~rLl
Ci tY~l\fDOolLPhone..2..iJ,'7 -1053
OYNER IN~TALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
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Items
Cost
Sum
lOOO 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
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 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
Branch Circuits
New, Alteration or Extension Per Panel
One Ci,rcu it
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 .:iiS.oo
$ 2.00 1..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 S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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