HomeMy WebLinkAboutPermit Electrical 1993-2-1
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Tn~.foIlO'.....ing project as cu.bml.~&o.m...the 1")liv,.'I'~ ~
zoning, and does not require SpSCt1IC land U:;6 . -
225 FIFTH STREET appraval, ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97417 ~. ( ( 33U1 f)
INSPECTION REQUEST: 726-3769 ~Cn100, Ci ty Job Number . /,
OFFICE: 726-3759 Dalo ~ - I" 93
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1 :-qt)lT~ON m 1)~~;eY~&OriZad Signelure
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/\ JOI).. DES'cR1PTION'..I-::' "'
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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\~"--\.D ~~-w..
Ci ty ~~ Phone\-u...\~'0
Supervisor License Number ~\-c::,
Expiration Date '\0\\0..---0..
Constr' Contr. Number ~-~,,::>L
Expiration Dat~ "C\,\o",,'Q..:
Signa~e of Supervis ng Electrician
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Owners Name ....,,~ lio1 r ,. QJG..S D.
Address A l'\ \ ~ ,fun ; Y\ 3t, ,
City ~W L Phone.J41-.PJo 18
OIINER INS\JALLATION " .
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Own~rs Signature:
. ~~~i~==-~----I-:1dLC{'c{~-----------
RECEIn I: . /I '-1;-",'t<;'Z->
RECEIVED BY: r:\V'\VI......-'
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COHPLETE FEE SCHEDULE BELOV
New Residential-Single or ~
,Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular' Ove1ling
Service or Feeder
$ 85.00
$ 15.00
$ 40;00
Services or Feeders
Installation, Alterations'or
Relocation:
B.
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
One Ci.rcui t .) $ 35.00 35
Each Additional
Circui t or vi th servic~ to
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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