HomeMy WebLinkAboutPermit Electrical 1994-3-4
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SPRINGFIELD
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225 FIFTH STREET ~~~~cval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 _ '_, fI\!()CL q4() /) 1\./\
INSPECTION REQUEST: 726-31~i}J- City Job Number . O(()I./--,/
OFFICE: . 726-3759 0<I\6~
, ~ ,:l. COIIPI lITE FEE SCHEDULE BELOIl
1.:~~~~:~~VjJgrt.
NOB ~~CRIPTION
C \_11 I ~ )l 0 r
Permits ~re non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Hf--J':-'<' if.!.:...
--. --')
Address _~:"'-'"
S. (d;'t' ()L.
City ..s:: (J.('O
Phone "';,,; 'I ' II ~,J..-'
Supervisor License Number ?).$ 'T/ S
Expiration Date' /1-9S-
Constr Contr. Number ' 8'l" Lf 2. ~
Expiration Date
3-S-"1 '-/
Signature of sup~r~ing Electrician
q;f~ .'
.. Owners Nam~ ~(){'\ ~ .P/1.L ' D.
AddressJ1jS \ _1 \ hfuf/' l
CityFJ 'UeJlO _ Phone(~tf5oifl'2-
OIINER ~STALLATION
The installation is being made on E.
property I own vhich is not intended
for sale. lease or rent.
OWners Signature:
, ~'~ '
~~~~:-:~-;:~ ---~~~~.
RECEIvED B'y~ _ JjLl\ >---.J II €; 40
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf;d Home or
Modular Dwelling
Service or Feeder
Items
d
~,
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.
Cost
Sum
/10
sJ
$ 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 vo~ts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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