HomeMy WebLinkAboutPermit Electrical 1993-4-23
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"~ \ SPRINGFIELD
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~-,;.::,.).' , " vV~ ELEC'J.'!UCAL PERMIT APPLICATION
97477 ::"'''(\-~1J~ - . --,,<"'~ q/J'r--<::::..L1..d
726-3769 Jt-Iyj. - ~ .,,' Ci ty Job Number ~ j ( ..J. 'jT,- )
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, .",,,Ii'lllo$\llil 3. COMPLETE FEE SCHEDULE BELOV
1. l-OCATION OF lNjiTALI+TION
~~4C\ THU .Vl..f),vYl t:.; A. New Residential-Single or
0" Multi-Family per'dwelling unit.
()~f:() Service Included: Items Cost
-'L. JOB DJ\SCJU.PTION " ^ {(\:i
~~Q . ffij) '\ JC5\ J....u! 1\ I L\LiI\.
Permits a\e non-transferable and expir
if work is not started within 180 days
,of issuance or if work is suspended for
N10 days.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION ~QUEST:
OFFICE: 726-3759
1,f6~D3~~N
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2. IlONTRACTOR INSTALLATION ONLY. 'B.
Electric~ Contracto~ \<.11:\ ~ti:ni(f1Q(:t
Address_ (~) ~ If\~ 1~/p(Q
City TJ Jqp JlLph~ne;', 0
Supervisor LiC1nse t:lunUie~ 317:; S
10- 1- ~ S' '.L-
QoL.{11
Expiration Date _
Cons tr Contr ....Number
Expiration '~ate J-I(f-q~
o
Si~Mj>is7;Zcian
(owne~s NameffifJ~(\ .fl\~J~\.~ D.
Address ~JIQ ~ ~01 J q, r('o..
Ci ty f' ~ rIP no. Ph.Je lew -Iql (.;5
OVNER IN9rALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
",~ers Signature:
~TE~----------A-~~~--------- .5.
RECEIPT': C. i, I?~ ....' 9.-210
RECEIVED B~, f''I{). _ ) .
1000 sq.ft. or' less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
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 volts
Branch Circuits
$ 40.00 'jI)
$ 55.00
$ 80.00
see ItB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited EnergylRes
Limited EnergylComm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 35.00
$ .2.00 .
not included)
$ 40.00
$ 40,00
$ 20.00
$ 36.00
4t)CP
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