HomeMy WebLinkAboutPermit Electrical 1993-4-2
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The following project as submitted hs~ ......" ,
225 FIFTD STREET . zoning. and doas not require spaeillc 1~1d"Ci1tI~AL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477' approval. l' (' , u.u /23 () / / 'I C1
INSPECTION REQUEST: 726-3769 Zonin!) ,--,V City Job Number 1.// '7c::7- /
OFFICE: 726-3759 ,/
Dala 4-2-'13 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIOfi"uthorlzed 81g t /.eIi
<:"75 .s:;" Ii u no ura tr." ,e',' Residant; .1 Single or
Multi-Family per dwelling unit.
Service Included:
.iIf;Gtj~~ moo~tf)
JOB DESCRIPTION . " JJ
~~;r:"..;r.
Permits are n~n-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
Electrical Contractor ~ ~
~~
~t/Z-
City ~~
t7
Supervisor License
Address
Phone iSfE'-/6oo
Number 9'15- 5
/r'13
6!!./57 /? 6
/ '2.1'13
Signature of Supervising Electrician
+~
Owners Name Pm Q roJilQ .
Address ~ 'L'?\ ~
Ci ty ;;..:
Expiration Date
Constr Contr. Number
Expiration Date
Items
Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling ~gO
Service or Feeder --J $ 40.00,f" oUD
~_.~ +-
B.,-servi~.s~ot Feeders
Histallation. 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
"
Phone
Ol/NEI
STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------~7~-----------------------
DATE: _ ir, / -1;'3
RECEIPT. I: .'i1'J3't "''1 '15
RECEIVED BY: . 1MA-t.
.
$ 40.00
$ 55.00
$ 80.00
see "B" above
or Extension Per Panel
One Ci rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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 $ 36.00i
5. SUBTOTAL OF ABOVE -~ - 2.8'{}.0Z>
5% State Surcharge '"'tdP_ /", (/[)
TOTAL ~~ ~ql././JZ)