HomeMy WebLinkAboutPermit Electrical 1993-12-29
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225 FrITH STREET ........ ..", " '''';'''''''';'-ELEm1uCAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 Z~";n" (flV
INSPECTION REQUEST: 726-3769u.t~ 1~,'d:C{~'q~ --.,~="CityJob Number C/ .~/ -SZ,I
OFFICE: 726.,3759 '. ../ .I
AutllOrlz<xj Slj;ro6ll.:re). 1}-.ll0/iPLETE FEE SCHEDULE BELOV
1. LOCATION~JALLATION ~=---_.~__
/t9 8 <E; t!7tJ .& ~ _ A. New ResidentiiiT-Single or
Multi-Family per dwelling unit,
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
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
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature ofSuperv!sing Electrician
. D.
Owners Name J",'J."e ; nlM.'fA1u1J / P-17'?eI
Address-LI:JS~ ~J~}/!~. h,
City ~~. Phone14r,.~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
O\lllers Signature: /7 _
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RECEIPTfi: ,/J _ \Id4v\
RECEIVED BY: '(/) (/)r) _ )
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
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
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$ 35.00 3S:<'Q
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$ 2.00~-
not included)
$ 40.00
$ 40.00
$ 20.00
S 36.00
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