HomeMy WebLinkAboutPermit Electrical 1993-5-4
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225 FIFTH STREET _ zonin"I~~liil ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 !l _ - n~ ~ () I] 1'\c:. rAJ
INSPECTION REQUEST: 726-3769'9__ e\u,.~":':':----City Job Number '-"\..JI }.... )(\D
OFFICE: 726-3759 ;,~trlorizod Sign
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL':ATION /l J
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JqB DES<:'r.FT.~ON . ~_ I' rJ
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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.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor.c).\' PO~[1i~ [1 \ ~I
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Address P.O. M _ 142'J.-.
. 1
City~U,filiL- Phone 141-1/), '3&'
Supervisor r:;icen.se Number I b ~ 10 oS
Expiration Date 19 - I -q ~
Constr Contr. Number 01JS?4't
Expiration Date
q-}-13
.
Si~re of Supervising Electrician
t72~ eTA
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Owners Name ~ O~.o l\.J
Address--11:t ~ (JSJl6n ~ Mo'l.f; 0 ) ~d. /t7
Ci ty P 11 ry fl'\ L.> . . Phone .2.!t.1- 1. b to q
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------~;-z~~Zi~~L1~--------
RECEIPT. 11:, l PI _ _ n-'-,::::J\/1
RECEIVED BY:(---1)\'~'{Al_;
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Jnstallation, Alterations
or Relocation:
200 amps or less \ $ 50.00 ~D
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
see liB"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00
11...00
,
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00.
5. SUBTOTAL OF ABOVE " :7-. 00
5% S ta te Surcharge 1. I 0
TOTAL. ~IO