HomeMy WebLinkAboutPermit Electrical 1993-7-27
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SPRINI'ELD --
ihc'"':~"'inu project as submlttad has tho fol/o
Zet ',.:). _.I.d coes not require specific land use
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225 FIFTH STREET Y7
SPRINGFIELD, OREGON 97477 Loning-bA{)IL--
INSPECTION REQUEST: 726-3?~<<:! '1fl.-'1.q~
OFFICE: 726-3759.- tp<
1. (\IpCl,TIQN, O~ IN;;'li'''~!;'+I~~C~'''C~d Signature V I!J:J: COMPLETE FEE SCHEDULE BELOII
...s::i.LO ( 0'--1 '- ~., c.lll LP .k:ll . A.
. LE~6.lnDJI~PTIONF'\re:? rY:""-..
I fJnL")nld't'.:J L.L-<'f--Y--J
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Permits are non-transferable and expire
if work is not started within 180 days
.of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
~lectrical Contractor
. A~S
Ci ty ~
Phone
/
/
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Expiration Date
Constr Contr.
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Expiratio ate
Sign' ure of Supervising Electrici~
;..,," ~~llil~~1\ O,~P\ D.
Address'ts;Pffi ';\ OXr\ "\ n n 1 ~
City_r'j Y}f 110 - Phone]_n7-0.' 0:Q'70
01lNER I~TALLATION
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
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Owners Signature:
(j~p~~';-
,-
D~TE: .'T.rJ.-=7Ef::j----
RECEIPT .:~f) Cf./..a.1aS<"
RECEIVED q V_ Jju...... ./ -
City Job Number
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
Cost
Sum
S 85.00
S 15.00
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C.
Temporary Services or.Feeders
Installation, Alteration or Relocation
200 amps or less I
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circui ts
S 40.00
$ 55.00
$ 80.00
see "BII
::to
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
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
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