HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FIFTH STREET f.;.;" . "', ' f\0, '. . ELECTRICAL PERHITAPPLICATION
SPRINGFIELD, OREGON 97477 :....' L~ . ,
INSPECTION ~QUEST: 726-376? r d. Y) q. . "'3'" ----"-"- Ci ty Job Number q d J Si.:, ~
OFFICE: 726-3759 .. ..L..k..._ ~ .
. Authcrized ShJr.o:l!JI:'} 3~ . ~KPLETE FEE Sc..BEDULE BELOV
1. l~~~,O/N40;,~~~AL~~~ON /J.. f,.J)f}.. .. I ''\~A.. -_.'~'~-""-......'.""" . .
L?-/~f~ ~ ~((~ ~A~~.. vv New Residential~Single or
Multi-Family per'dwelling unit.
LEGAL DESCRIPTION. Service Included: ..
\ / 0 d ~<:, ~~ 0 Y lnoY Items Cost Sum
JOB DESCRIPTtEQN
<7 ~-f~' i;EIV ~~i.u JIl-,l) 0.
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 B.
Electrical contractor~.A..~
Address ~S ~ S, (p~)::$J
Ci ty,6~ v\~ Q p i,.!l. Phone....:J L.{ L/J/ L-, c::.-
Supervisor Licen.se Number ~S 7j S-
Expiration Date ~ J CIS
Constr Contr. Number ~Jr~~~
.~"~/'1J/
Expiration Date
Sign~ture~f pervising Electrician
-xq ~
, -
Owners Name ~ ~1)hh~
Addr'ess . J 00 "Cvc;,~ -L ()",
City~~l\A:'I~OBiPtign~ $,>0$ <''-f~'-~II~
OWER INSTALLATION
The installatiori is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~~------J7~~\;~--------------------
RECEIPT I: 1'1 \-(,..
RECEIVED BY: b.~
"
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
:J $ 85.00
Q-
1/0.00
~ $ 15.00
30,00
.-~--=..
$ 40.00
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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional ~
Circuit or with Service
or Feeder Permit
$ 35.00
$ . 2 . 00 .
E. Miscellaneous (Service/feeder not included) .~
-Each installation 9:J
Pump or irrigation $ 40.00 ~
Sign/Outline Lighting $ 40.00 ~
Limited Energy/Res $ 20.00 ~ ~
Limited Energy/Cqmm $ 36.00
OWO P ;)00 .oo".~ I
5.. SUBTOTAL OF ABOVE :) t10. Of) -~W
5% State Surcharge. 10.00 I
TOTAL . ~ 16. (')() >\~
Mt4~ By AP/(, 7, ICfcr3 ---r- /,) ~/
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