HomeMy WebLinkAboutPermit Electrical 1993-9-14
SI~IIINGr-ICLD
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Tho following proiocl no cubmittod has the following .~,
225 FIFTH STREET zoning, aod 2MS :1C~ "'c:,lJ;re or"- .;;;c '""0 uso ELECTRICAL PERMIT APPJ.I,C,ATJ?'h[)
SPRINGFIELD, OREGON 9;7,4i7,7,!. L-f;:) I cJ.-' (,
INSPECTION REQUEST: 726-g~,9<1 lAfi2- Ci ty Job Number q 3 J 2-(-,.;r-'i1
OFFICE: 726-3759 fA _ \L\ .-tj~ i .
Dc} ~\ J H. J COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INST^!;'Mk~9~~o~ '-K"~ .
72/ -:1-~,~ A. New Residential-Single or
~ Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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11/1'9 D
JOB DESCRIPTION
/'Ao6("'/~ ~ A.A:XH
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
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name .~/~ ~oA-l
Address '7210 ~A1VI7E #'L.
Phone-247../,A4, (1-1)
~41- 377(, (1<1)
Ci ty ~_
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for saie, lease or' rent.
, O/rJ~~~~~7\
Iv ~~;:-::--C~J q'Ef~;"):-:------
RECEIVED BY( ~' /1GL./ ::"4
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 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 "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 Ci-rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
V' $ 35.00 ~~
$
2.00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
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