HomeMy WebLinkAboutPermit Electrical 1993-6-15
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SPRINGFIELD
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approval.
225 FIFTH STREET 'vp\'2.-
SPRINGFIELD, OREGON 97477 Zoning
INSPECTION ~aUEST: 726;<"'3769 l.>115-L0~
OFFICE: 726-3759 A th ' d S' \.....,-,
U onza Ignature ^ 1\-' 3._
1. LOCATION OF )NSTALLATION
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LEGAL DESCRIPTION
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JOB I}ESCRIPTION ~ ~ftt(.
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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
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9 '=3 /? i-> 21"'-
COKl!LETE-FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per ,dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feed~rs
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
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Expiration Date
Signature of Supervising Electrician
Owners Name ~~~_
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Address 10 tf/ L"clr!-i"V<:"L
City'>? IL - of<e Phone 9 t/7- S S-:J. q
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OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
;ria,. ~
DATE~----~~-I-~----~~----------------
RECEIPT f; ~q/
RECEIVED BY: ?~.
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
'$ 40.00
$ 55.00
$ 80.00
volts see "B"
D., Branch Circuits
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5..
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ ,2.00,
not included)
$ 40.00
$ 40.00
$ 20.00
. $ 36.00
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