HomeMy WebLinkAboutPermit Electrical 1993-12-23
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SPRINGFIELD
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225 FIFTH STREET ,L.. ~ ~ '--
SpRINGFIELD, OREGON 97477 Zomno
INSPECTION REQUEST: 726-ciY,69 t;:::)..~'::\.3"""<1~ City Job Number
OFFICE: . 726-3759 <:~ ->
. !.IuthorizadSignBturBV-'J' \..()HPLETE FEE SCHEDULE BELOV
1. LO~A.TI..ON OF INSTALLATION ~
Ir-,,,\a,i\- \. ~<, s, Ie\'{ ',A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL_pEACllPTION' Service Included:
!-'? () a... (J~. ;J 3 - ()~ ~ 0<2.) Items Cos t Sum
-3 JOB I~ESCRIPTI.OIl, 1000 sq. f t. or less $ 85.00
'~ \.~, lie,\,') \-t.'S Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
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 $ 40.00
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor RuJL C/J
Address :1. '1_~
City hm
\
I'll..fyU ~ ~-
Phone ~ 5'- \)'\11-
'1 ~r'J\\S
1'i\'I'~V)
Constr Contr. Number rA2 C\\,
Expiration Date ~)~ l ()~ ~A
, Sign~ture of S P7/g ~~ician
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Owners Name \\\\~Qj.1'
, Address \9~'\"\- j~s, '\ ~\:\ '
City S~ ~ \<3 Phone
Supervisor License Number
Expiration Date
v.Md. INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~-:~---Ir\~~C\~--------------
RECEIVED BY: ' '-, ,I <:f>.
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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.' Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit ($ 35.00 ~
Each Add it ional
Circui t or wi th Service !J \(J,CJ
or Feeder Permit ~ $ 2.00 V\
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5..
SUBTOTAL OF ABOVE
5% 'State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
J ~ jC\ 90
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