HomeMy WebLinkAboutPermit Electrical 1993-11-4
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225 FIFTH STREET ' <oil;' WA,\.u.;'t>";"';-I~LECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97471 ~e (I..:r. ~i""'f;'e"';;:::II.)I.t /) [ Q
INSPECTION REQUEST: 726-3'1.~2~-I----{' ---=::..... U Ci t; Jdg Number '1. ~ r-Au 'j
OFFICE: 726-3759 ''>.COSil) ......... -----
""(~ru__01P. COHPLETE FEE SCHEDULE BELOII
l.~~TION OF INSTALLATION --______.....
....:.LBIYfGr S'''''~a; UI;C tfu9.r.:wt'l A. New..~sidential-Single or
, Multi:Pam~!y per dwelling unit.
LEGAL DESCRIPTION Service Included:
! ! ~ ~ oJ.... 2.. z..:: () 7 -:2-?{j Items Cos t Sum
JOB DESCRIrr~ON (
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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.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ftlLjJ~engRS €LGG
Address' ,do A())( ~t.
Ci ty~..J~
Supervisor License
3.;J-.r.r9Y
.33~' 5"
Phone
Number
Expiration Date
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Constr Contr. Number "2-0 - 35 (!..,
Expiration Date
/o-/-qr/
Signature of Su~e:vising Electrician
/.,....,,/ Ad
Owners Nfm'e Aft, w; J. ~.--j~Y'-e.'\
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Address ~~,~ I~ iv>. Sf-
City M'ZV\~QO-Po (tS Phone ?i7[)" ("D73
OIlNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~~--------l-(-~-Lf-~q~-----------
RECEIPT II: I () 7/; ,
RECEIVED BY: t1 A /\A-.. CL..
,/
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less / $ 50.00 J!L'
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
volts see "II"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service I
or Feeder Permit ~ $ 2.00
B-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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