HomeMy WebLinkAboutPermit Electrical 1993-6-9 (3)
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SPRINGFIELD
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ELECTRICAL PERKIT 'APPLICATION
225 PIFTH STREET ZO 1'- - ( C
SPRINGFIELD, OREGON 97477 [) r/ '."---
INSPECTION lI.EQUEST: 726-3769c--~-L~';_t}
OFFICE: 726-3759 Autr.criZodS'~ . '(7-_
'onaturo-1'3:::" COMPLETE FEE SCHEDULE BELOII ~
1. LOCATION ,OF INEALLATION. ,/.
:s.:7 / M. ,<;., /oJ .-sf . .f;P;VtJlt'ir/"2J. A. New Residential-Single or unl't. '.
Multi-Family per. .dwelling
LEGAL DESCRIPTION Service Included:
-.L:J./Jl "<-I 7 ~ Items Cost Sum
JOB DES<;RIPTION
iiF~ 6 rf)~""f ~[Tf'a
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
Constr Contr. Number
..
Expiration Date
Signature of Supervising Electrician
Owners Name ?4iRirl:- C . 51,Liilli/.,J
AddressJq<;l. ~ "....,,\i:.......L/.
City C~ Phone-2!{l- OS:'.c;
vJ
OIINER INSTALLATION
The installation is being made on
property I own which is not in ~u
for sale, lease or ren t. . ~.~
OWd5 /.-,-- .
l'~;::r: h'd P4'OItllCfS.
DATE:
RECEIPT ,:
RECEIVED BY:
~,)2.
c.-~-'2:1
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. Ci ty Job Number
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 Feed~rs
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
~ 3b~ /2....
$ 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
D.' Branch Circui ts
.$ 40.00
$ 55.00
$ 80.00
vol.ts see "B"
above
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 .~~
Each Additional
Circuit or with Service
or Feeder Permi t .f- $. 2.00. ~ ~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$
$
$
$
4,<. q(;
;?./T
"fSIS
40.00
40.00
20.00
36.00
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