HomeMy WebLinkAboutPermit Electrical 1993-10-11
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;~;:~'"".:'C .;lc, , ,,"' ,'oq""e specffic 'endfficriuCAL PERMIT ,APPLICATION
97742767_3769 ZOOi"-,. ~c....
City Job Number
c,.!, 10 -ll-'i ~
" ....-..- 3. COMPLETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLAT~oril.Dd Signature ,~
"2/20 ~?-/p.--fL ~. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
.
l:f.'~;/::t
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTION
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JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 1BO days
of issuance or if work is suspended for
1BO days.
"7?/Syg
Items Cost Sum
1000 sq.ft. or less $ B5.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor L~NT"L ELECT~Ic..::CNLor Relocation:
Address 31o{,21o CEDA>2.. t-IILL<'
Ci ty PLEA~AfJT 1+1 LL Phone 72.(,- 06.")'1
Supervisor License Number 3i q L S
Expiration Date
IC)-I-q~-
"
Cons t r Con tr. Number 'i? Cj b 1 C\
Expiration Date
7-1L.{-Q3
Signatu~e of supervis~g Electrician
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c:::
Owners Name
Address~_~ a
Ci ty ~Q.LQ Dt Phone
01lNER INST~TION
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
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$ 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
D. Branch 'Circui ts
$ 40.00
$ 55.00
$ BO.OO
see "B" above
~~~~~. New, Alteration or Extension Per Panel
;:O.-"lfLn. Q. .
ne Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t -:z.. y' $ 2. 00 ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
A6\o...u'L ,:
RECEIVED BY:
/;.1/-//-'7' ?
/L> ~32-.
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E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Qutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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