HomeMy WebLinkAboutPermit Electrical 1993-12-20
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5 B TREET ;, " \I~l ,-A'~-;> I , ELECTRICAL PERMIT APPLICATION
22 FIFT S ,0" ,,;
SPRINGFIELD, OREGON "9f{77, J ~ 0
INSPECfION ~QUEST: 726-1JV691 ~''---- q3 City Job Number 0~J ~9Lf
OFFIC~: 726-3759 C ''', lt~"), \~-d-C; COMPLETE FEE SCHEDULE BELOY
1. i ~t08A~ON OF INSTAL. oT.I<0Nignature r:.,')
~ \' ~~ A. New Residential-Single or
Multi-Family per ~welling unit.
LEGAL DESCRIPTION Service Included:
)'03~/:2,<
JQB DESCRIPTION
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Items
Cost
Sum
-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACfOR INSTALLATION ONLY
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
B.
Services or Feeders
Installation, Alterations
or Relocation:
"~
f\) I
I
Address-hf), ~, 14~~
CitY~l~~ Phone~~3b
Supervisor LiQen~e Number '{Q~bS
Electrical Contractor
Expiration Date JD - } -- q 5
Constr Contr. Number D"A~4q
Expiration Date q -J -q tf..
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
.
o;;;!d~Z;:;;;:cian
" Owners Name~~ ~Y\e;t"
Address~~ WDO~
Cit~i\..Vn ~ {ilii ,_Phone 1:1,/0 - wl1
O\lNER IN~ALLATION
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 I
Each Additional
Circuit or with Service
or Feeder Permit I
$ 35.00,55.00
$, 2. 00. _~. 0 D
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
Owners Signature:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
RECEI PT .:
RECEIVED BY:
l'/:l,O/ot::l,
l/o?::'-:J
~P,
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
.'q/'f. DD
i. ~7l
3~. ~S
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