HomeMy WebLinkAboutPermit Electrical 1993-6-9 (4)
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number ~ff?1i' /-:z...
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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. LEGAL DESCRIPTION
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J~CRlPTION ....-....._
V/...c.rE ~~~
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
.
I'
Supervisor License Number
Expiration Date
.,
Constr Contr. Number
~ ~
Expiration Date
Signature of Supervising Electrician
Owners Name ?p e:;;;p~/~ D.
Address -"7~~ ~-'AV~ ~
City ~ Phone.' ~/~,., 1"~--
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE~--- ~-~:~----~----------
RECEIPT I: ,,.,~ '.? 7'
RECEIvED BY: /~l...>>?
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
.
It ems Cos t
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
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
.......... $ 50.00 ..1!ii:C.--
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "Bt! above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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 5""~- ~
5% State Surcharge ~~~
TOTAL' ~2~