HomeMy WebLinkAboutPermit Electrical 1993-6-10
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225 FIFTH STREET r / /.
SPRINGFIELD, OREGON 97477 r ' . ~b_{.J.:.LV_ '
INSPECTION REQUEST: 726-3,7.6,9r,,-o~ ~;cn~,",o
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION . /'
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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.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ((fJ7);;;J:s. iif,l'lIzrU
Address (06% IJ..c?&T ~/J//-
Ci ty b//,H.-( P
U
Supervisor Licen~e Number
Expiration Date
Phone 34c.; - 74Y2
';<7/< S
/15- /t?- tf.4..
Constr Contr. Number_ <S~ Z:~
Expiration Date -117"-15" -qy.
Si~ature,~~~ervising,Ele~cian
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Owners Namellik- (1en:6 ' D.
Address \~\\.. ~V\ n '1' t\~ill2
City t) YW 11 0 .... Pho~~ (j l n9l;'tdJLP
OVNER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~~----llQ-~~', -~~~------~-----
RECEIPT ,: _ \ ~ _ -- c-fl/ (/(
RECEIVED BY: C l'J _, A. -:-)~
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SPRINGFIELD
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3.
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per ,dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Sum
Services or Feed~rs
Installation, 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 \
$ 50.00
$ 60.00
$100.00;
$130.00
$300.00
$ 40.00 -W-
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less \l0-' $ 40.00 \ ilt.Jo
201 amps to 400 amps ~ $ 55.00 ~
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ ,2.00 ,
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
40~
4€~
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