HomeMy WebLinkAboutPermit Electrical 1994-1-10
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SPRINGFIELD
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225 FIPTH STREET \l'O\0~~ ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 974?7"\O\lrt<},~t000S~ r7.fJfClf\q
INSPEctION REQUEST: 726j376,?., & ob Number ""'I., U, '*
OFFICB: 726-3759.....' ~ ~i~~ /'1,"\
;,Q /\ Q . ~ \ LETE FEE SCHEDULE BELOI/
l.L~~ OF ~ALLA;rIO~J\,"~e
c--iI:-"> yD r J1.'//,:,'.!!L A. New Residential-Single or
. .'.'~..,.," Multi-Family per dwelling unit.
, LEGAL DESCRIPTION ,. Service Included:
~ESCRI!\TION c9J8q C1'
0\-- WL.n pn(2[L +50.l"'rJ..)
perm'i ts are non-transferable and expi 'e
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor
BILLS
Address
3~EST 11TH AVENur
City
l]lr:rNr Phone_JiB? _ , R~'_
Supervisor License Number 9805
Expi'ra tion Date 10/1/95 "
..
Constr Contr. Number 21351
Expi'ration Date 4/?R/q4
Signat~ s~e~ising ~.
' \}!~ (A ~ f /J _ '\
Ovners ~ {) _c:l~ 0m$.t6 /
Address J44C\~ ( 111 ~ trl""U ~2
Citt P. ~ ~ 0 Phone!Jliln-Cf)~
UlINER INSTALLATION
The, installa tioil is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~- --n---r.-Tf) -<.:14=-------
RECEIPT .:~' )' ' 1/ :!J,l.) (
RECEIVED BY. l Y }. )
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Items
1000 sq.ft. or less I
Each additional 500
sq. ft or portion ~
thereof ,~
Each Hanuf'd Home or
Hodular 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
Cost Sum
$ 85.00 65
$ 15.00 15
$ 40.00
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ 40.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less ~ $ 40.00 '~
201 amps to 400 amps~ $ 55.00 ~
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "8" above
C.
n.
Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/(J()p6 \30~
,,~,~'-')n f..p .50
p1A~~/'l (210.0