HomeMy WebLinkAboutPermit Electrical 1993-8-31
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225 PIPTD STREET . Z' "i-_c,,,_ J~~qrIHjGAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97471' ~ Oning I/i\o-.-, . ""J" a.'~~
INSPECTION REQUEST: 726-3769'_R.::21':;:--~ City Job; Number ..."":)' ) ,
OFFICE: 726-3759 Auth . ~ I'
Orllea Si91lalUre~OKPLETE FEE SCDEDULE BELOII
1. J. N OF AL ION . .' J .
If..~\.:3j 0 ... SL. A. e esllinti!,al-Single or
Hulti-Fa~ per dwelling unit.
Service Included:
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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 B.
Elec trical contractor_/-!t~uc.~-I t:lM jl.\I.01l.
Address 353 ~,h-:rTY PL..
Ci ty .5PFu'). tOR.. Phone 71/i/-//{,S
cn41'ff .
Supervisor License Number 357?:;'
Expiration Date 3-9S
Cons t r Con tr. . Number f.? 9 t./:fi3
Expiration Date -:f- 9LJ
..
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Signature of supe:j;sing Electrician.
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Owners NaT, fltf2?tOM ;;
AddreS~XJtJfJ (o~f/7
Ci tv JLU4010 )Phonelo~,SS to 7
OIINER I'1TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent;
Owners Signature:
------..~---~------r_~----------..---
DATE: ) n~c /'I~._ _ "
RECEIPT '.: _ j _ VI?f
RECEIVED BY:J \ J
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
-L
r!J
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
Reconnec t Only .
Sum
$ 85.00 f<,)S
$ 15.00 3D
Cost
$ 40.00
S 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
D.
Branch Circuits
$ 40,00
$ 55.00
$ 80,00
volts see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or 'with Service
or Feeder Permi t
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
S 40,00
$ 40.00
$ 20.00
$ 36,00.
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