HomeMy WebLinkAboutPermit Electrical 1993-8-11
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225 FIFTH STREET . ~ni"g, and does n~t "'quire "pacific ~fuICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 "PP"''iI1!. ;'0() J .
INSPEctION REQUEST: 726-3769 z,oninGl "'I~L.-/ . Ci ty Job Number c\. 3\ D5'6
OFFICE: 726-3759 ' to ,\\, -,\r....,
, . Dala TJ, .~ liOHPLETE FEE SCHEDULE BELOV
1. '+~.UPJi-..OF /IN~TIO~\";h~ Signature l' ~ "1
\ \ 'rh'r"i---'\ l-"J \( , fll 0 [J) A: .New Residen t ial-Single or
Multi-Family per dwelling unit.
Service Included:
\~~7ftriIONn~fti)
\"~~~L l~~~
- \
Permits are non-transferable and ex re
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
CONTRACl'OR INSTALLATION ONLY
Contractor
City
Supervisor
Expi'ration
..
" "
"' ',,-
""
Expira t n Date
'ture!of Supervisi~g Electr~
Owners NameG\ (I.f\ \<..n\-C\ l\C'L.J ~ D.
Address ~ \ ~ ~. \\ (1)\1) S\\-, Dr.
Ci to/ dlm f\ 1 . - p~one~.
OVNER INSTALLA~ION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovn~;:u~~, .
')(~~------ '-~- -~ ------------
I DATE:. b.t.. ~
RECEIPT I:
RECEIvED BY: ( , 1/1
~ ---------
Items
Cost
Sum
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
'1 $ 40.00 4(')
$ 55.00.
$ 80.00
volt. see "8" above
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)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~.8~
q~ cx,;
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL