HomeMy WebLinkAboutPermit Electrical 1993-4-2 (2)
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225 FIFTH STREET < "...... <'v,. ,_, ,~r",?~~;", ELECTRICAL PERMIT APPLICATION
,SPRINGFIELD, OREGON 974770<.:"" ..........d '<d"" ""'",,', q::::2r'1/Cl C
,INSPECTION REQUEST: 726-3769'0'" ~,-7,~~.C"'C/,'~itY Job Number <. A .J r~
OFFICE: 726-3759 ',g,?~. ....:;) "10';:',.,
""'(,1",/. 3. COMPLETE 'FEE SCHEDULE BELOV
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~ '-A. Nev Residential-Single or
~Multi-FamilY per dwelling unit.
Se~ice Included:
....... Items Cost
1. I Lqc;,:q~ OF ..;m~TALLATION
lfJ?S 1,1 t"JIO ('111 J7 ')
I X'n~~1Y~~ D4scO
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Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork, is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor,p //5 elecJ('/C
Address 3/70 ILks+- !rt-~
City 91] P...J1 0 Phone;? {./::; / '?5 '5
Supervisor License Number ??dPc? ~
Expiration Date /D~ /- q,')'
Constr Contr. Number :.f''=3 S /
Expiration Date if ~ :J.-' if ...... 93
~u~ ~p~ :trician
D_""""'O '
Ovners NaniEli;, !.~ f\
Address0){) llll 00 rrt~
City ~(rl . _Phone ~r-8701
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~;~-------~/~l~~-------------------
RECEIPT I: I~?:'( _
RECEIVED BY: ,~
SI.IIINGt:I~LO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service'or Feeder
----L
4-
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
Sum
$ 85.00 AD
$ 15.00 LIll
$ 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 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see ItB"
. ,
:,
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 vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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