HomeMy WebLinkAboutPermit Electrical 1992-10-6
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225 FIITH STREET ' ,"~:o~a\" t.,0
SPRINGFIELD, OREGON 97477 zoc:n90 -
INSPECTION REQUEST: 726,3769 l~lCj).
OFFICE: 726-3759 ,. '-, c"r:J,I~~ap
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1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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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 "S:I9'W' Trt:9 (
Address_tlC',\ //-'"'-1 f!i/' UJ(')r~
Ci ty 6'1~'vP Phone "fy~-;.c./f/q'
Supervisor License Number ~<i<'I1.f.\
Expiration Date I()-I- c,.~
Constr Contr. Number (,,)}t/tf
Expiration Date I. ~tJ>'-q3
Signature of Supervising Electrician
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Owners Name OA-",' IJI)JIIrr-
Address
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OIINER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
-
Ci ~y Job Number
3. COMPLETE FEE SCIIEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm' $ 36.00 ,I'G,c?O
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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