HomeMy WebLinkAboutPermit Electrical 1993-5-20
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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:[,;.ning, 011C OOGS nOt r<::lv,'-llre~. ELECTRICAL PERMIT APPLICATION
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726-3769 20fl!!;:' Ci ty Job Number V o-1~L
[~!?i"Cj $/ ').0 It; J
1. LOCATION OF INSTALLAT10Nioilzed Sir,nctU1'e
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
3~OMPLETE FEE.SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00 .
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical ContractorSHt'& p/f/ ~~ Relocation:.
Address 7>0 i5P,r -:23/~9'
Ci ty &t/&.-L!A/&:..
Phone 5~~ #'/9Z?
Supervisor License Number 5~o/3S
Expiration Date ItJ-l- ~
Constr Contr. Number 5'6697
Expiration Date :;5'-/6 - r~
upervising Electrician
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ame~-.19l.VM~ -r6/lf~e
Address ~~~
//Vc'
Ci ty Phone "1#7- "'7/25
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~-------~~:~c-J~~~~-------
RECEIPT #: ... I - (J '~..~ ~~(/?' J
RECEIVED BY, "'4JJf }--=::J "
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 ~t?tJ
$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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension,Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t -.!!I- $ 2o~ pO ~(J
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited~nergy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 115, (J,(J
5% State Surcharge ~.~~
TOTAL q / , "t:f P
y,