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HomeMy WebLinkAboutPermit Electrical 1994-7-13 ,. .. SPRINGFIELD "roning, and does not roquire specific land use approval. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 , Zonln~ Lf)/l/ 9~i~Q,,69 r-I"SA, A~ SIgnaIure f) fA.- 3. 1.\'~~ON~~~ ~f\l5~~~rIONrp rlV DESCit&P1'IOty.. f l'.,LLl 'J II J Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended-for 180 days. 2. CONTRACTOR INST~~ ONLY Elect~iC ContRc~~i iA~Cf)fld Addre &\~ \\3 \) City ~Phone1~ .~~ Supervisor LIcense Number ::)~~ \(). \~'; Constr Contr. Number ~ql4~ 5.QS Expiration Date Expiration Date ature of Supervising Electrician r0&;. /<..o~ Ovners Name Address City Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Owners Signature: ---------------,,-------~----------- DATE: I . \?,.~\ l ~ RECEIPT If: \. ] ,- _ ,,"" RECEIVED BY: (j '/1..1>- ~\= - ELECTRICAL A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $.40.00 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 $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel ()() l $ 35.00 35. One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~'2,<) .~ J ~ o..~ ,51.?\V' SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL