HomeMy WebLinkAboutPermit Electrical 1912-11-17
Sf'fflNGFIELD
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225 FIITH STREET . !he. fOlloWing pro' . ELECTRICAL P'ERHIT APPLICATION
SPRINGFIELD, OREGON 974 77 a~~~~~~~,nG Q'O(-)~J~~~ ~ ~~~mitted has the. q n I t>I. J f)
INSPECTION REQUEST: 726-3769' q-Ile specific i6,kt~~~J''()BgNumber d ~ J 0\
OFFICE: 726-3759 2cning ~]) ~
De.te._U~~3-;- -GOH~LETE FEE SCHEDULE BELOV
1. LQC;YJiO~ OF W~TALLA~o.~I./A';CI~l2"'" -:~--.; ...
'tI ( ~~l.ujLL}QjI.x:;.~' >J'Gl1atu.-e.3 New ReSIdentIal-SIngle or
. -. - ..- ) '--M\11-ti.:::Family per dwelling uni t,
I (t(')'~~N mf:fJw Servic;;-liic1bded: Items Cost
S~D~Y)~Chfl~~~mD ~~~~ :~d~:io~:/;~~ / $ 85.00 Pf5
\ sq. ft or portion II P::JJ\
Permits are non-transferable and expire thereof ~ $ 15.00~C-J
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTAeffON ONLY
Electrical contracto~Ii-jL) ~~
Addres~~p() ~J \ \ \?C'
Ci ty ~ T~eJlo > ~hone Co f\~~( olb1
supervisorGticense Number ~~~
If). \ .C\5
Constr Contr. Number - f=)CJ\~
~'4.g4
Expiration Date
Expiration Date
Signature of Supervising Electrician
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Owners Nat"' l.~ \-:x)\9J'S tuJ
Address \ ~O U) .\)q4-lN) ()
City ~~ Ph~nelo~8-lgc=s_1
OVNER I~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-----1-~--~~~~-:-----==---
RECEIPT #1 I -f.:L. ~.. (~~
RECEIVED BY: C/) L! X~__--"
Sum
$ 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
Temporary Services or Feed~rs
Installation, Alteration or Relocation
\
c.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
10
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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