HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FIITH STREET .:nprOh.. '. nc,l rcq"i."o :,J;C;;7.':ErE8!R't~L P'ERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zeninn (Ie!... -. qaob.loO
INSPECTION REQUEST: 726-3769 . I _ Ci ty Job Number Z ") a
OFFICE: 726-3759 ~ato_ 'f-;;~-
Autiwrizad Sjgnaluro~HPLETE FEE SCUEDULE BELOV
1. ~OC~I9NlOF. ~N~TALLATION
\ n'::':\( ) Mn t r\ ) A. New Residentia1.-Sing1e or
Multi-Family per dwelling unit.
Service Included:
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(~OB DESCRI~ION . 1__
\J .f\ Q . l' 1 1\ (\11 1. 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 INSTALlf5ION,ONLY .
Electrical Contractor 011 ~(\ 0 ("\
Addresd C\ () \\'\rm)/ rR.
City (DO; no J Phone4~srg2L
Supervisor LQcense Number;:) c\f)()5
\ D . \ ~ 0\5
Expiration Date
'Constr Contr. Number (') 4? ,q \ ()
Expiration Date \ d ;-\f) ,q~
Si'""~P'~I'I'"
Owners Name lQ Xl) f\ 0 . Q ~
Address \ O~C'J }v\ r1.Lr'\a:n
'h'~~L~n~hO"'
Items
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
Cost
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,.
S, m
$ 85.00
$ 15.00
$ 40.00
$ 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
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
-Owners Signature: _
~~~;~~---~~~-~~~~~------------
RECEIPT II: (' _ ,. _ . r~~~~
RECEIVED BY:("'---'NJ b ^) -
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$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
or Extension Per Panel
$ 35.00 ~c:;
$ 2.00
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 -3~rn
5% State Surcharge \ . 'Ie::.,
TOTAL ~ -510,'15
One Circuit
Each Add it ienal
Circuit or with Service
or Feeder Permit