HomeMy WebLinkAboutPermit Electrical 1993-2-25
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2. CONTRAClOR INSTALLATION ONLY B.
Electrical Contractor Q"CllJ tA{(<lG1 (Ei~ '<;:..
v
Address P(), 60><- d.';::J;:)"O I
Ci ty t...a,.~ l.t e Phone 7d-.C;' 5/0'0
Supervisor License Number .-:<'3~'1 s
Expiration Date /0 - O/~ "
Constr Contr. Number ?-t:?3L;;/7
Expiration Date <5" 1'3
Signature of Supervising Electrician
ul;JI;~VV1 AJ. ~ I9f-
Owners Name tA,..r~J/~y
Address 3~ 3, J ct5r" t'dr
Ci ty 5ff'''V\.~(:-f(J Phone 7'!7-1.;&.~C-/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-z -:::;z 7'~.::?
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DATE:
RECEIPT I:
RECEIVED BY:
ELECTRICAL PERHITAPPLICATION
Items
Cost
Sum
225 FIPTB STREET ,~p,c":o f(
SPRINGFIELD, OREGON 97477 ::;:' . L Q
INSPEClION REQUEST: 726-3769 -.-- -- - --.. City Job Number ~~ /7
OFFICE: 726-3759 r "..~.:::.a.s::.1J.
0,,; ,odZJcl S:rnG,ura ,-(3. COHPLETE FEE SCHEDULE BELOII
1.Lc)<;AI;I:ON OF Ui,STALLATION f) "\.. v .J
~.s .0 ,..j Q-spef' V"tY: A. New Residential-Single or
Multi-Family per,dwelling unit.
LEGAL DESCRIPTION Service Included:
/.R-p,< ~-~' 1P~.t?"?:>
n~B DESCRIPTIOSeN , n I. ,.. or <>
;..,c...(J ~ f1V(Ce "-"'tC<_~,,-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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
services or Feeders
Installation, Alterations'
or Relocation:
200 amps or less I $ 50.00 ~--
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 Relocatiop
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 "B"
above
D.
Branch Circuits
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5,.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~ c=e:>
'7- S2>
6'?.. ~~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .