HomeMy WebLinkAboutPermit Electrical 1994-6-28
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225 FIFTH STREET /} fl , ELECTRICAL PElU!IT APPLICATION
SPRINGFIELD, OREGON 97477 ZonlIIII \.A./ . J
INSPECTION REQUEST:! 72'bMV6Ht~ J -4~ City Job Number CjY()/'I'3
OFFICE: 726-3759: '" . ... " - tv, t:lJ.
1. LOCATION OP INSTALLATION ~ {e r.OMPIJ~TE FEE SCBEDULE BELOW
"3''-0 C:~'7E.~~ ~ '~ A. New Residential-Single or
Multi-Family per d~elling unit.
Service Included:
I.J;jGU,. DESCRIPTION
/1tJ3 t.:Jco 510 I
;
JOB DESCRIPTION
~<'M"T1+S - ~U1)i() (1~
Permits are non-tra~sferable and e: pire
if work is not s tar:ted wi thin 180 lays
of issuance or if ~ork is suspendel for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
B.
; (ec_L,., c.
Electrical Contractor S~a
Address ~Ol .s{ 14A
,
Ci t;' Pa./Hc-mc)
;
;
i Phone
.so:3 .; 33.3631
3"196..s
Supervisor License Number
I
Expiration Date /d/q<::)
I
Constr Contr, Numb~r 'i'-J8d.5
I
Expiration Date ,<;fq5
'i
Signature .of Supervising Electrici,n
/Y)~.( ,lk
O...ners Name ~\~ Q""
Address ~~~QO ,9fi...<... '\
Ci ty~\~ i- ;hone
o~ '\N~ALLA~ION
I
The installation is~ being made on
property I o'Jn which is not intend"d
for sale, lease or ~ent.
Owners Signature: 1
~g~:-:~---~-\~~~-=
RECEIVED BY: ~ l.J"---' ,
. .., ..-~
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Sum
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Items Cost
1000 sq. ft. or less $ 85.00
Each additional SOO
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
Dr 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
, 'j
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
tD 600 amps
amps Dr 1000
D.
Branch Circuits
New, Alteration or Extension Per Panel
/
$ 35,00 3S~
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$ 2.00 /O.~-
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no t included)
40.00 !
40.00 I
20.00 --r
36.00 I
Miscellaneous (S~rvic~/feeder
-Each installation
Pump or 'irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
Dr Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
-$ 80.00
VOl.ts see "Btt
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abovej
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