HomeMy WebLinkAboutPermit Electrical 1993-11-5
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eRINGFIELD
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225 FIFTH STREET ' ,8 I)O! re:~~6tI7' " ELECTRICAL PERMIT APPLICATION
SPRINGFIEW, OREGON 97477 Q.,~ <Orlk/., ? --yI/0,.':>"'".(..,. q~1J,.nO
INSPECTION REQUEST: 726-?lfi9 f' ( . ~I, '" '/ ", , City ~~b Number .0 \Li t
OFFICE: 726-3759 "!<'tlto~ -.. '-..
"~ed Sig ----. . .....COHPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION f)t",v) ..2-J
c-'-?!5 /.//-;J/'j-ij Jf7/ -.Al~New Residential-Single or
, - /,N1t>rfl2.( cA7 - ,M~ti-Family per dwelling unit.
,1I7t:> ~~CXJ 0 \ ofD Servi.c~ Included:
Items
Cost
Sum
JOB DESCRIPTION
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
.
Permits are non-transferable and expire
if work is not started within 180 days
of 'issuance or if work is suspended for
180,days.
2.' 'CONTRACTOR INSTALLATION ONLY
Electrical Contractor A /3 t...f' E'L~c..
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
Address .5'" f / /
Ci,ty .J #' ;CL tl
"
/Y7 /.J / tV
Phone 7.2.6 670/
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
'>(.
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Expiration Date
J tl)..,3 S
/0/:7//0/5 "
,
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q .2..:':"5" 0 ~
? //6'/9 fL
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Signature of Supervising Electrician
C.
Temporary Services or'Feeders
Installatio~, Alteration or Relocation
Supervisor License Number
Expiration Date
ConstrContr. Number
_,~'~- -- 7 6-
-/ , D. Branch Circui ts
Owners' Name f ..,6/J/"I'>~'1 () c.oM/Z1J/JY/T/f'S"
A~ . New, Alteration or Extension Per Panel
Address S"'""1 J 5 /....7/l //V ' , '
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
.",--.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
vol ts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
~
Ci 1:y5 t::P"c 0
Phone
"7 Jt 7 }f9'/J
$ 35.00
OVNER INSTALLATION
$
2.00
The'installation is being made on
property I own which is not intended
for saie, lease or rent.
OWners Signature:
E. Miscellaneous (Servioe/feeder not included)
-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
5% State Surcharge,
TOTAL '
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