HomeMy WebLinkAboutPermit Electrical 1993-4-30
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SPRINGFIELD
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225 FIFTH STREET 7:_ <",~"" 'O"\"\>--~I ~~ ~CTRICAL
SPRINGFIELD, OREGON 97477' A'~~ ~--
INSPECTION REQUEST: 72f>.3J69- - -J!.>J,e C1ty Job Number
OFFICE: 726-3759 0-' - ecS\'6l\
~jS~~ 3. COHPLETE FEE SCHEDULE BELOV
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JOB DESCRIPTION
Perm1ts are non-transferable and exp1re
1f work 1S not started w1th1n 180 days
of issuance or 1f work 1S suspended for
180 days.
1 Contractor
/
/
Address
Clty
~
Superv1sor
Expiration Date
"
A.
New Res1dent1al-S1ngle or
Mult1-Fam1ly per dwell1ng
Serv1ce Included:
unlt.
Items
Cost
Sum
/
1 "
1000 sq.ft. or less
Each addit10nal 500
sq. ft or port ion
thereof
Each Manuf'd Home or
Modular Dwell1ng
SerV1ce or Feeder
B. Services or Feeders
Installat1on, Altelat10ns
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
$ 85 00
$ 15 00
$ 40 00
$ 50 00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alterat10n or Relocat1on
of Supervis1ng
Owners Nam;-rf'f(\~ \ \tJ<6-~f)
Address \~e:n f{Wl () {)
)4)Q 'V(' c:!...(-
C1 ty l \' \ \~ _ /Phone fF\""\..} '-
OVNER INSTALLATION
The 1nstallat1on is be1ng made on
property I own Wh1Ch 1S not 1ntended
for sale, lease or rent.
Owners Slgnature:
a___(l':'..~:r:;J("i~ 043. ~-1:_
~ATE: -t.n~) zt3-
RECEIPT .: ,_ 1 - ~ =>,1(1 .
RECEIVED BY: (,::~\ .In_J
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch C1rcu1ts
New, Alterat10n or Extens10n Per
/
Panel
OO~
M1scellaneous (Serv1ce/feeder
-Each 1nstallation
Pump or 1rr1gation
Slgn/Outl1ne L1ght1ng
Lim1ted Energy/Res
Lim1ted Energy/Comm
One GHCU1 t
Each Add1t1onal
C1rcu1t or with Serv1ce
or Feeder Perm1t
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 55.00
$ 80.00
volts see IIB'I above
$ 35
$
2.00
not 1ncluded)
$ 40 00
$ 40 00
$ 20 00
$ 36.00
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