HomeMy WebLinkAboutPermit Electrical 1993-1-11
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225 FrITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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3.
COMPLETE FEE SCHEDULE BELOV
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A.Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
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-.. L D' D ELECTRICAL PERMIT APPLICATION i
97477 LOnlng___ Y"'-- .
7260,,3169_\ - } 1- CZ3 . Ci ty Job Number cq ,~D{)O
Au1horized Signature ::;: \"
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Items Cos t
1000 sq.ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
Electrical Contractor ,4 D (
B. Services or Feeders.
. Installation,. Alterations or
Relocation:
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City Cv~
Phone
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Supervisor License Number
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Expiration Date
10 -1- 9~
Constr Contr. Number ~1C;'fc..{
Expiration Date
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Signature of Supervising Electrician
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Ovners Name 7Ze~~ 5.J-o..f!J
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Address
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Ci ty Phone ..]L7- '-I / ~
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
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Ovners Signature:
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RECEIPT l!: c... iJ.' /;lxr ')
. RECEIVED BY: \ /\ {/~
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ BO.OO
volts see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder.not included)
-Each installation
Pump or irrigation $ 40.00
~_i (O"tline Lighting $ 40.00
Limited Energy~ ~. $ 20.00 Zo.~
lmited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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