HomeMy WebLinkAboutPermit Electrical 1993-8-20
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SPRINGFIELD
Tho felle...lnn ornlecl as submitted hM the lol\@\'Ii 6)
225 FIFTH STREET ~~;rG . f'. :w!:u 0,. _..J u~~crn\rCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 (A)(Z- \ /l~ I"\n9
INSPECTION REQUEST: 726_3769gZ0~': (.1::3 . City Job Number V\c-j\\.. )'-'\
OFFICE: 726-3759 Date' </".~t ~ *
. - - _ K .. . ., _ COMPLETE FEE\ SCHEDULE BELOY
1.. . LOCATIq~ 9F INS1'~LA'1'iOWrized Si.gne,ul~.V -=
/.3 'fLj J;t L&;. l5Uvol. -Sf' OR, A. New Residential-Single or .
I Multi-Family per dwelling unlt. .
\f'\~~E~PT~~ n'?-.CYY) Service Included: Items Cost Sum
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JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
CONTRACTOR INSTALLATION ONLY /
Electr al Contractor ~
/
Address
City
""
Supervisor
Expiration Date
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. 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
$ 85,00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiratio Date
re of Supervising Electr~
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Owners Name J)eNJcI/!, R,01dOA/
Address /~LfLr /;it [fA WA./d.
. . I
City~r), (j,(' Phone ?LfJ,-(1)3eJ
OWER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
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DA~E~-----:;i,;/D------;j-:D-l4:k-C;--C;J 5.
RECEIPT I: ( , ,..)'/ -,-1 S-
RECEIVED BY: ,{utO.f,w
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.. Branch Circuits
$ 40,00
$ 55.00
$ 80.00
volts see "8" above
'One Circui t
Each Addi tional
Circuit or with servici
or Feeder Permit
Extension Per Panel
$ 35,00 sC:S
$ 2.00 A
New, Alteration or
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 40.00
$ 40.00
$ 20.00
$ 36,00
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