HomeMy WebLinkAboutPermit Electrical 1993-1-26
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'VIlVWlllg proJ~ct as SUbmjh::C1 h<:':1 the followin
tl/19, and does not roquire specific land usa 9
...J.Jproi..al.
225 FIFTH STREET Zoning ~ IVJ [
SPRINGFIELD, OREGON 97477 I /
INSPECTION REQUEST: 72623769 -riJ9 - CJ3 City Job Number
OFFICE: 726-3759 Authorized Signature (<::
~) ~,--eer.P~:: FEE SCHEDULE BELOV
1. ~~~IN~~~ffi I\YJJJ
{1fflj:J~ON ~f
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' P ~~ts ar~J\n~~tra~:able :~xPire
i work is not started within 180 days
of issuance or if work is suspended for
180 days.
th ~~~NST
tI~i~~ontracto
AddressA-m V-.:)c;:',~lR-
Ci ty W~ Q }('-.Qj Phone 3-4-~\:)1
Su,pervisor <ricense Number-{051.JlE..;
~L~.L.(\.l)Q.5~l ~-,--'3/ Lo C,Lu / b ICf 3...-
Expiration Date In. I ,Ct~ "
Constr Contr. Number C31ILo(5
Expiration Date 3jqs./
ature of Supervising Electrician
fo'::rs NJe)VV:D!)fJ lJL~
Address C?'3. ~ 1ffY7-Sl.< lL f 'r19
City ~ l (2Jtcp Phone 01l1~//:Jj)
OIINER INSTMTION
The installation is being made on
property I own which is not intended
f ~e, l..;<"e or rent. ~
Owners Signature: 0, '
,. ~, .-~
D---~- --~-7~~~L1~---~--
RECEIPT I: r ~ )' /0rP-t
RECEIvED BY:'''::::- 1\0.. - f
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A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 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 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D., Branch Circuits
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
$ 40.00
$ 40.00
S 20.00
/ $ 36.00 0if.a... CO
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