HomeMy WebLinkAboutPermit Electrical 1993-12-5
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225 FIFTIl STREI:T
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICI:' 726-3759
97477
726-3769
ELECTRICAL PERMIT APPLICATION
C1ty Job Number ",??/::<.ay
3 . COMPLETI: FEE SCHLDULE BELO\I
1. LOCATION OF INSTALLATION ~
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LEGAL DESCRIPTION
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JOB DESCRIPTIO~ ~
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PermIts are non-transferable and explre
If vork lS not started vlthln 180 days
of Issuance or If vork IS suspenoed for
180 days
2.' CONTRACTOR INSTALLATION ONLY
Electncal Contractor aJ~ E/CGt-r,'t:-
Address U ~I l~vl. 5
Clty .€ ""~ e....... Phone 3 '('1- be; r~
SuperVlsor LIcense Number 3 a J 5' 5
/1">,1_ "".;:-
EXpH3tlOn Date v, /'-'
Constl- Contl Number = . 7832.''}
ExpHa tlon Da te /2. S. ';:)-
SIgnature of SupervisIng I:lectrlclan
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Owners Name %~~ ,~co
Address ~~~
CIty ~~.
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Phone 2V')~""i'/&:>3
O\INI:R INSTALLATION
The Installatlon lS beIng made on
property I own VhlCh lS not lntended
for sale, lease or rent
.
Owners Slgnature:
DATI:'
RCCf Ii'l II'
RCCCtvLD BY
Nev Resldentlal-Slngle or
Multl-Famlly per dwelllng unIt
SerVIce Included
Items Cos t
Sum
1000 sq.ft. or less $ 85 00
Each addltlonal 500
sq ft or portlon
thereof $ 15 00
Each Manui'd Home or
Modular Dvelllng
SerVlce or Feeder $ 40 00
B.
SerVIces or Feeders
Installatlon, 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
C.
$ SO 00
S 60,00
$100.00
$130 00
$300.00
$ 40.00
Temporary Servlces or Feeders
InstallatIon, Alteratlon or Relocatlon
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U volts
D.
Branch Clrcul ts
$ 40.00
$ 55 00-
$ 80 00
see "B" above
Nev, AlteratIon or ExtenSIon Per Panel
MIscellaneous (Servlce/feeder
-Each InstallatIon
Pump or IrrIgatIon
Slgn/Outllne LIghtlng
Llmlted Energy/Res
Llmlted I:nergy/Comm
One C,rcult
Each Addl tlonal
CIrCUIt or vlth SerVIce
or Feeder Permlt
c,
5,
SUBTOTAL Of ABOVE
5% State Surcharge
3% AdmInlstratlve fee
TOTAL
$ 35 00
$ 2 00
no t Included)
$
$
$
$ 36 00
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40 00
40 00
20 00