HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FIFTH STREET Z~, LD D ' ELECTRICAL PERMIT "APPLICATION,":' -=
SPRINGFIELD OREGON 97477 OIn9 ~ q~^'"::)R'~ "
INSPECTION REQUEST: 71.6'fJ.37,69_t/~2-?3 City Job Number .... 1. Di,jll~
OFFICE: 726-3759 Authorized S' . /AU
Ignalure~ J' 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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JOB DESCRIFTION r' ,,_. r-A.
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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.
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2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor c~LRi1.. ~I<"'"
Address f,O,r3d-2('Cf U
CityW~~Vv:(Ct. Phone'1l{Lf-o'7o)
Supervisor Licen.se Number 3MiG- S
Expiration Date~~ l(
Constr Contr. Number '2(r'Z-q~ C.
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Expiration Date~ ~
Si~re of ~~ Electrician
Owners Name J, C I ~ <<kt I-
Address ',(, 2-q kf.4v~y \)\11
City <:r-tJ Phone~7_Gr;--
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----.--------'ff--- -,,- -- --, -----------
DATE: ,~., I ,~-.:J . _ ,..../.
RECEln ii: ~~-_ in....~
RECEIVED BY: (- J 1 \AJ,v,-/
New Residential-Single or
Hulti-Family per'dwelling unit.
Service Included:
A.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
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. 40l.to 600 amps
'Over 600 amps or 1000 vo~ts
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 rcuit
Each Additional
Circuit or with 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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