HomeMy WebLinkAboutPermit Electrical 1993-4-28
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SPRINGFIELD
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2:~~~~C\\.- L.. Vt--- ELECTRICAL PERMIT-APPLICATION riD
97477 2'"I\'I\Q-J ____ q"'2 f\
726~~~~~_IJtI~~~O.----r____Cl ty Job Number I Il JS
"0\\0\1260 S'Ill\ 3. COMPLETE FEE SCHEDULE BELOII
1. .LOCATION ~ I~ALLATI~.L
L~~S\..-'-) .....\J\)\ }v~L A. New Residential-Single or
\~. mm' N b0.. Multi-Family per. dwelling unit.
Service Included:
Items Cost
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JOB DESCRlP'l,'ION \ .J\...lI \ (\
'-...l\ _() C'{'){,(\O ("\~ Cl\On. \ '1.J\.0 ..)
2. CONTRACTOR INSTALLATION rNLY B. Services or Feeders
h Installation, Alterations
El"'"'(.f''''''' ""'- · v ., Rol.ud...
Addr8S ~ \ lo~ Wi (\ t1~)\5\_L~d1\..tJr~ 200 amps or less
n n II ~ J.9Q ~ _ 201 amps to 400 amps
Ci ty V \I. l'~ if ./ Phone - ~)J':0J7 401 amps to 600 amps
- - I ).-.j -r\- { ~ 601 amps to 1000 amps
Supervisor License Number ~A S '-fJ Over 1000 amps/volts
" -, ere::::.. Reconnect Only
Expiration Date In.' oJ..
\'_~(9?O~ C. Temporary Services or.Feeders
Constr Contr. Number UJ~ ,.~A. Installation, Alteration or Relocation
Expiration Date ( J 41 \ ,[,fLf 200 amps or less $ 40.00
IPe~Vi~ .l.~ 201 amps to 400 amps $ 55.00
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~ers Nam';tQ~~-t"~'fhl ,,~D. Branch Circuits
Add"~f; '0' ~D\ tr&n:1
Ci ty Q ~ Phone
ovm:A TALLATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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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The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATi~----------2\-~~~~~----------
RECEIPT I: 6h\~
RECEIVED BY:
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Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
'1i )
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ .2.00.~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 4,Q, ~
5% State Surcharge _ 1 6.J .) ( J
TOTAL. ,,"-\- . \ .).....
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