HomeMy WebLinkAboutPermit Electrical 1993-11-18
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SPRINALO
The, following project as subm/tlad has tha followi '
225 FIFTH STREET zOning, and does not require specific land EJJ:CTirCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approval. OJ
INSPECTION R!'OUEST: 726-3769 Zonina ,.. 0 City Job Number 9 ~/'!f'".? Y
OFFICE: 726-3759 1I1,~ I 1"\"'- q.? "
Date_-1J.J;.j,.CJ3__ oI-3~ COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATIONoriz~ign&ture--S '"
":39,~ Jhrt~Dl!')Y-ZR. /fZ>. J\./ """ 1\",,,~J~..tial-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
1?~7'/~'Pe>. ~"3?b7P
JOB DESCRIPTION
3/~r:r,F'R ~.~
~~~
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 p~~ E~.
Address -5""9/ W6s:r A~ .#VG.
Ci tyco'-;'I5"-1(I!f::_ ~--= Phone. "3'#-Y7.6r
'9 '? Y t!S7
Supervisor Licen,se Number ,-:r~ 3 5
Expiration Date
/~-/-9S-
Constr Contr. Number i././<G;. 9
Expiration Date :z -9-9'/
mk~~{Z;;;rician
.
Owners Name_Ftt./~~
Address
City
Phone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~---~----11-~~-~~-~---
RECEIVED BY: tAV."jf)... ) ,-
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
Services or Feeders
Installation, Alterations
or Relocation:
200 amps' or less $ 50.00
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
. $ 40.00
$ 55.00
$ 80.00
volts see IIB11 above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit I $ 35.00, -?t:;;-
Each Additional
Circuit or \lith Service
or Feeder Permit ~ $ 2.00 It!? _t::>
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
5.
$
$
$
$
~/~~
'Z ~~ _
'::2.<"">-
~?~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL