HomeMy WebLinkAboutPermit Electrical 1993-5-6
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225 FIFTH STREET '. L olY ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoni~9 '" q3fJ\~r-'r-:'
INSPECTION, REQUEST: 726-;3769 rib /1 ") Ci ty Job Number . ' ,l/~
OFFICE: 726-3759, 'J ""
" Au("orized signature__....:...3~COMPJ.:ETE-FEE SCIIEDULE BELOV
1. 'tAc;~ID, ' N ~l}~~~LU1;lQN " '.
C\)~L-P ~~fJ/ L1~ A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service,Included:
. , 161 f.J3'
\~Jf! ~~~A7!lw~ ~~
, 9'
Permits are non-transferable and e~pire
if work is not started within 180 days
of issuance or if work is suspended for
180 da9s~ '
2. CONTRACTOR INSTALLATION ONLY B.
, Etectrical Contractor ,13, '/ 15 rkr!..Mc
Address3/70 L0) /c)'C.;
Ci ty E-iJ Ci(l--U.J; Phone 3t!3 -135 ~
/
Supervisor License Number ~2F~~
Expiration Date /0-/- 95
Constr Contr. Number ;;2}35/
., Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
d
Cos t Sum
to
$ 85.00 05
$ 15.00 0( ')
$ 40.00
200 amps or less $ 50.00
201 amps to 1.00 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
200'amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Services or Feeders
Installation, Alterations or
Relocation:
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date t.I~ 1- 9_s
~tu~ ~supervis'
\~.){~;J (
ow:;s ~am~ m 0 ~f - ofJ ^-3 .
Address ~5q JJtiiJJ ~4 J
Cit\y _ ,p pt{J~, Phone 1() b- 30t1:;r
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.Owners Signa ture:
~~~;~-----~~-0:q0~-:-':~=--
RECEIPT ff:....-/ """--:::U' _ n~()
RECEIVED DYC=1['/X.A~) -
$ 40.00
$ 55.00
$ 80.00
see liB"
m
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 Permi,t
E.
.5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
L~CS~
; J,..!1S-
L~).~
'~
40.00
40.00
20.00
36.00