HomeMy WebLinkAboutPermit Electrical 1993-1-11
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225 FIITH STREET "pproval. f 1\ (') ELECTRICAL
SPRINGFIELD, OREGON 97477 Zonin9_-.b..U-'K.--
INSPECTION REQUEST: 726-3769 Date \ - U.-1::'5 City Job Number
OFFICE: 726-3759 <;<:...
Authorized Si9natur~ . LJKPIJITE FEE SCIlEDULE BELOV
1. y\C'f~\O~ I ~~~ ~d_ A.
I <i?C3~ I N rP{).O:~)
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Sum
Cost
Items
ell ,/1 1~1000 sq.ft. or less
~L1 . Each additional 500
sq. ft or portion
Permits are n n-transferable and ex i e thereof
if work is not started within 180 days Each Manuf' d Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
$ 85.00
. WI ~OB ~DES
\.....U..U.J I , L
$ 15.00
c9$ 40.00 8J
Services or Feeders
Installation, Alterations or
Relocation:
2. CONTRACTOR INSTALLATION ONLY. B.
ElectricR contractor~. f loI'r\lir.)
Address VI) ~N ~~{\ \ '
Ci ty Y; i m r ~n -) Pho~e q on ,-~Q. \D
superv~sor License Number ~ o2S
Expiration Date ~f). \ ,L\? _ '
'constr Contr. Number U lo~C\q
Expiration Date LD ,4-.~ ~ .
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
volts see "8"
200 amps or less
201 amps .to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Signature of Supervising Electrician
glJ d "Q (lJM/
Owners Nanie~ ~
Address~IClP ~ ) \
Ci ty 61't Q[LQ..... . Phone [0
OVNER ~STALLATION
above
I
Branch Circuits
D.
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or with Service 1)
or Fe:fO (!~~ $ 2.00 , ~
E. Miscellaneous (Se vice/feeder not i neluded)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE m ,(f[)
5% State Surcharge 11( )
TOTAL H(n.l( )
The installation is being made on
property lawn which is not intended
for sale, lease or rent. *'.
Ovners Signature:
~~~;~~-----~---71-~--1:~=Z1r~---
RECEIPT 1l:~7r2A~-
RECEIVED BY~ / )I.t-l 11_ )