HomeMy WebLinkAboutPermit Electrical 1994-12-8
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225 FIFTH STREET ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 f1' A. \ \/\ \
INSPECTION REQUEST: 726-3769 City Job Number ~~ _ \~ _
OFFICE: 726-3759
3~PLETE FEE SCHEDULE BELOII
~\/}?1J~~m~~~t't(1)ortD~~~ Residential-Single or "
" Multi-Family per dwelling uni t.
~~~ION,-r) \oC), , '." Service Included: Items
_ ("JQB DE 11{ II ':.. ' 1000 sq. ft. or less ~
LA )\ 1 r:::y 0 LJI Each addi tional 500
sq, ft or portion "
Permits ar non-transferable and expire thereof ~
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modula,r;'Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION 9NLY
Electrical Contractor lH.K'r 6"&C/
Address, ,t'/;:)-:f.?l7- /,?,-~",~~d"' ~/
City \,/,/"y Phone f!Y?-:>'1rr
Supervisor License Number / ?71 S
Expiration Date /1)- /-~
Constr Contr. Number 77'7'7:?-
Expiration Date
/ /- /3 - 7r:r'
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 W
$ 85.00
$ 15,00 30
$ 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
'\
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners'Signature:
-----------~-~~----------------
DATE: I )LL.11'2....
RECEIPT 4:~ l7'1V1~ /
RECEIVED BY:.r _ " r/' ~ :.,'
D. Branch Circuits
$ 40.00
$ 55,00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
"
$ 40,00
$ 40.00
$ 20,00
$ 36.00
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