HomeMy WebLinkAboutPermit Electrical 1993-12-20
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225 FIITH STREET ';"i";i"at~ "",., " ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 L, ~
INSPECTION REQUEST: 726-'~69'bJl"- Ci ty Job Number 9 ~~5
OFFICE: ' 726-3759 ",". )\:\...... """""r _rv~'
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, 3 COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INST-MJ'-gnature ,~__ .
h,79.3 /!./Ub?L45 ~ '
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permi ts are non-transferable and expi~'e
if work is not started within 180 days
of issuance or,if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
E~ectrical contractor~I/~/~(:
,,, Add ress P (') ~-()X u4 '
Ci ty ~}(dtPrv; de-. 'Phone 7L{c..{ 07[17
Supervisor Licen.se Number ,2{;,&&-')
Expiration. Date /(J '--fll..-qJ
Cons tr Con tr. Number (3cr:t /3
Expi ra t ion Date '0 - LL{ -Cj;;,
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Signature of Supervising Electrician
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Owners Name /J?IKc c;/f,.( )~t3-A.J
Address
City
,Phone
, OVNER INSTALLATION
The installation is being made "on
property I own which is not intended,'
for sale, lease or rent.
Owners Sigpature:
--------------------~----~----~--~~----
DATE:
M\"IHt:'I i:
'RECEIVED Bi:
./;2 ~/~-93
~
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A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000'sq.ft. or less
each additional 500
sq. ft or portion,
thereof
Each Manuf'd Home or
Modular Dwelling
, Service or Feeder
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
Re~onnect Only
Items
Cost
Sum
t.--'
$ 85. 00 ~5 e)-{)
2-
$ 15.00 .3&> ~
$ AD. 00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
- i___ $ 40.00 4cJ r CTO
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
$ 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
Limited Energy/Comm $ 36.00
D. Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
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