HomeMy WebLinkAboutPermit Electrical 1993-12-21
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SPRINGFIELD
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225 FIFTH STREET 20 . t' I" . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 nlng_.___~
INSPECTION ~OUEST: (726~37.6.(L!~II~1oi I~_d-\~o--.City Job Number 93/)~7 'i
OFFICE: 726-3759 Authorl'~. ~ f.:5
-Ad "'~f1aIUre_____QB <:CCOHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION -.;:,)~- .
138 {!JfH1I1 ".T. sPI?/Ill(JicLIJ oR.. A. New Residential-Single or
Multi-Family per'dwelling unit,
LEGAL DESCRIPTION /7 (5) ~S 3~ O'--lSOO Service Included:
O~~y lJrJur/(JI)frf- fln'lf. U,UUJAlG
c.lAJ~ 1/tIC.,
JOB DESCRIPTION
~ I ~A../fM:;;:/-I C/,eculT-5
2. CONTRACTOR INSTALLAT~N ONLY B. Services or Feeders
,_J f f Installation, Alterations
Electrical Contractor.,& ~ uJ7~~ or Relocation:
Address~ 'fo'<' ~ I ,\n 3, 200 amps or less
201 amps to 400 amps
Phone c,t(n- 2.3C.<; 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
Ci ty P:( 'qPNL
..
.<;28"2 - <
16 - I - c:, $ ..
Constr Contr. Num Jer 7 /) ~ t <IS C
Expiration Date_ -1..h ~ 1- q(/'
/;43&~~cian
Owners Name ----1J:.!J: AJ/~ C,
Supervisor License Number
Expi ra t ion Da te
Address_' ~H J'J/Allv ~r--k!.>~'-
Ci ty 5,o/!.-ltJG-r:,iLf)
Phone 7lt}- ~n16
OVNER INSTA)'J.~TION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
OWners Signature:
DATE:
RECEln' If:
RECEIVED BY:
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Items
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Cost
Sum
$ 85.00
I
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
volts
$ 40,00
$ 55.00
$ 80,00
see "BU
above
D.. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35,003)-
Each Additional
Circuit or with Service
or Feeder Permit c; $.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 4-75.00
5% State Surcharge '2--.~r
TOTAL . 4/"-s