HomeMy WebLinkAboutPermit Electrical 1993-2-16
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225 FIFTH STREET h"~, and :1000 nol rOGu;,. "~J:;;;c !w:l UCJ ELECTRICAL P'ERMIT APPLICATION
SPRINGFIELD, OREGON 9i'47rl. ~ I (). 7?0
INSPECTION REQUEST: 726-3769n2_\ (...., _ Ci ty Job Number Q';;/3o 7
OFFICE: 726-3759 Date__~lJ-9)
1. LOCATION 01'JNSTAllFJitTiON Signature S r 3.
.~O tv. ~AJ/i?)JIEk) A.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
10 '[ij~DPjlfy'rr~ I () I
tA-A/E' ceJ. #eu5I#6,
JOB DESCRIPTION
RE"rIOL. i!Ja>~ ,oPB/€R.
Items
Cost
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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_JS<.JtJ~Y' I::<B:T-
Address PO 15 ;;'/503
Ci ty ,?;;;Ur:;, 97t,h;;;L Phone t,~- ;;13(;,5
Supervisor Lic~nse Number 3:;Jf~ S
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
$ 50~00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Expiration Date Ib-/~~~
Constr Contr. Number 'frIaS''$?
Expiration Date (,~'J.7-1~
Sigr9~ 9jctrician
W?/J ~/
Owners Name I-fA (!So/
Addressd 00 W . !::::h; At )( 'au ')
City ?i'((cL Ph~ne lofs'f}-1{ffO
OVN~ I~STALLATION
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
volts see "B"
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
above
Branch Circuits
D.
New, Alteration or Extension Per Panel
$ 35.00
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump ,or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm --'-- $ 36.00 3(, 'd!E!..
5. SUBTOTAL OF ABOVE .31..~
5% State Surcharge lSo
TOTAL ~,~7.80
Owners Signature:
~A~;~-------~:~~-~~-----------
RECEIPT I: ,J I }~;l?\
RECEIVED ny:. i=s. r 110 /
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