HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FIFTH STREET . LJ"~" ':, Ef..ECTRICAL2JPERHIT APCfLICATION
SPRINGFIELD, OREGON 97477 ' Zon;;'] -,? ' '.' . " ~I\ '0 ^c:::
INSPECTioN ~OUEST: 726-3769 Oot01, I/}L~ ';?' - -" _ _ _ Ci tyJob Number . ~l ') d -'l,
OFFICE: 726-3759 -. -~--L "-
Aothori.zed Sig-,.", - ~C HPLETE FEE SCHEDULE BELOV
1. "r.p~~TJQN <l!l ~!...ALLA~ION Jl' "'UJe_ - I
rY , U! ' J 'tC:)' ',)1 1 All J. <:L-> dl J/LJ A -r wResiden!ial-Single or
,. '.' Multi-Family--p-er, dwelling uni t. .
LEGAL DESCRIPTION Service Included:
'~D.~CRI 'N. . . .
, \, Q .
permi:s are non- ransferable 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
Address
City
Phone
Supervisor License Number
Expiration Date
.,
Constr Contr. ,Number
:i-
Expiration Date
.
Signature of Supervising Electrician
Owners Nam~~ ~, 0.n1\~D.
Address ~ l J-lUfl ~
City ?~ tQ) ..Phone 7:2 b -2,~\!..J
OVNER INSTALLATION ' .
The installatioh,is beirtg made on
property I own which is not intended
for sale, lease or rent.
~eJ! Signa'~re:. . /
~1uL)1<VVLh "i ) ~ r ,
/., .'f' - - f
DATE~--------~-~--/5~~~~~----
RECEIPT 1: ~. f)~ ~~,.,
RECEIVED BY:,\. /MLJ~ i
- J - .
Items
Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft ~rpor~i~n
thereof. ' ,
EathMantif'dHome or
Modular Dwelling
Service or Feeder
, --
$ 85,00
$ 15.00
$ 40.00 .
B. Servf~es or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50,00
201 amps to 400 amps $ 60.00
~01 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 1'\
200' am~s or less t $ 40.00 4f)
201 amps to 400 amps $ 55.00
Over" 401 to 600 amps '. $ 80.00
Over .600 amps or 1000 volts see "B" above
Branch Circuits
~ '
, ;
New" Altepl don or. Extension Per Panel
One. Circui t'
Each Additional
Circ~lt or,wit~ S~rvice
or Feeder~P~rmit
$ 35,00
$ .2.00 .
E. Mis(:ellaneous ($ervice/feeder
-Each installation,
~~~p or'jrtigation
Sign/Outline 4ighting
Limit~dEnergy(~es
,Liinit~d, EnergY1.Comm
not included)
5..
SUBTOtAL OF ABOvE
5% Stat~. Sur-charge
TOTAL .
$ 40.00
$ 40.00
, $ 20.00
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