HomeMy WebLinkAboutPermit Electrical 1993-11-10
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SPRIN.ELD .- - -
I~'~I~~:o;:,~~~~~I~ ~: o~~:Gltted hllG the followlr(l
225 FIFTH STREET approval. - q , pacific land uoe ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ?oning I. De. q0\n 'l
INSPECTION REQUEST: 726-376911} --. _a"? City Job Number ::J 'I \ 0
OFFICE: 726:"3759 Oalo CLoloe, 1~-d0 -10
A' rthori7<>d S' /\ 3, COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION 'gnatura '- c::::.
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JOB DESCRIPTION
~\",=_ Y,Y1,LH<.... (V-' \" UP,,u :Leo ....",,10
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days,
CONTRACTOR INSTALLATION ONLY
/
/
Address
City
Supervisor
Expiration
of Supervising
Ele~n
, "-
\/l~
.
Ovners Name ,!' ~fr!.r'
Address "7 W'1 f,)p,,"t +-~\\e.c0
City"",.Lt Phone.:JJLU-II'8:3
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
/!?~~
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DATE: I) II .Il') ,CI..~
RECEIPT I: \..-.(' ') U)y\(o~
RECEIVED B'YT7'j I} j{)., , -
Nev Residential-Single or
Multi-Family perdvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. Services or Feeders
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
unit.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$, 2.00,
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
50 ,cD
r{J - c~n
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