HomeMy WebLinkAboutPermit Electrical 1993-5-3
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225 FIFTH STREET zonin9_ ELECTRICAL PERMIT APPLIC~TI
SPRINGFIELD, OREGON 97477 'ill 143 ~ nari\
INSPECTION !ffiOUEST: 726-3t~9,_ -I--'- - . ~y-Job Number '--'U\.) "
OFFICE: 72"6-3759 , cd Signa\ur9_
AulM'1Z 3. COMPLETE FEE SCHEDULE BELOV
l.LO~~00~~J0
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"Permits are n~transferable anh expire
if work is not started within 180 days
of issuance or if work is suspended for
.180 days.
ONTRACTOR INSTALLATION ONLY
I
1 Contractor
7
/
Address
City
Phone /
Licen.s~m~
Date ^
~-
~
Supervisor
Expiration
The ins'tallation is being made on
property I own which is not intended
for sale, lease or rent.
~;~~~---
DATE: /5.<..,) '-c.; _
RECEIIii:.: i J1~
RECEIVED BY: ~ 0Cl "./ -
A.
New Residential-Single or
Multi-Family per'dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling -4- f!{J
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
B.
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
Miscellaneous (Service/feeder
-Each installation"
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
Expiration ate
. of ,"pmi.i... E1~"i"
Owners Name 0 \r\ ~ 0 $~r'\().r m~Branch Ci rcui ts
10 I ~Q DP ;{:f~" New, Alteration or Extension Per Panel
Address (\ LV\. ) ,r-
c'r /i/'J I~V rJll'4, One Circuit $ 35.00
City~ll.!J A../ Phoneif209)- ~ Each Additional
" I ) Circuit or with service/ n
OVNER IffSTALLATION " or Feeder Permi t " $, 2.00 " r-J. "
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
,
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36;J0
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