HomeMy WebLinkAboutPermit Electrical 1994-1-3
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SPRINGFIELD
. Tho fe!lowing project es~u Itt ci' *'
225 FIFTH STREET -:~::""'o?"ddoi)$notrequ!r cP~~';h'..~:fOI'RU!aTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97471"(U'~', d{l UBe fl nQ
INSPECTION REQUEST: 726-376iCI1ing City Job Number ......, ~ \ 6 -\ \
OFFICE: . 726-3759 _ ....z L - *
. " ._ -'.r 3. COHPLETE FEE SCHEDULE BELOV
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1. LO A I INS AL~ .Ul~ed Signalure . I
A~e\L5 I~)()(1~ Jii.. "'0," Ro~i~ntial-Single or ,
- ~~' , , Hulti-Famlly per dwelling unit. '
LEGAL DESCRIPTION Service Included:
\ JOB DESCIUf'Il'Io,l
hi )(YI, Q \)U\, LL\ ./
Permits a\e non-tran~erable 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
Expiration Date
Signature of Supervising Electrician
io Owners NaIll!! ()\ 0 .,1,--'\ ~~).
Address ~'SC\.. ~.~ 0Lg,? \> A .
City~ ~1.t 'Phone~cOlo'~
OWER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
~.~ i;-
ATE:---- -r~ --~t:{~-~~-----=----
RECEIPT, I: I ~ 21 .', I W.l.Q'1
RECEIVED B~(U lG.' ./ :- '
-~
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 Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bn
ID
above
D.' Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/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 4t) ,C[)
5% State Surcharge c-4. DC(
TOTAL <-t',.!,l .OU