HomeMy WebLinkAboutPermit Electrical 1993-9-3
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II!:.FIELD
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 The. following project. A9 submitted heo the followlne) ,
INSPECTION REOUEST: 726-j'~~'~\,.r''' 'b"c'c : 'f,", - ondCiety Jdb Number ~? / 3""6'cP
OFFICE: 726-3759 , ~~ / I
, Zoning_t;N~3 .-COHPLETE FEE lSCHEDULE BELOV
1. LOCATION OF IN~TALLATI9~j.-3 -:?hj~_ 1 .
4</(;7 ~~flJ. :===}+, -i\)AJoA.....--New Residential-Slngle or
a AUlnonzeO::;lgnalurtff'. l:Il'lti_FRmill' per dwelling unit.
LEGAL DESCRIPTION Service Included:
/B~.?2~-;2,~ .t::?/~ Items Cost Sum
,
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JOB DESCRIPTION
(uir.l' (\w CarditlimOf'
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 t!.t':::l FO((l{Ae ,~ne.,
Address _rJ. (\,?-,r,(. 1<1'<1:::1.-
CitY~(\;n9lb; 0 (tl Phonelil-~.ytL
Supervisor Licen,se Number 110 1;1 ~.<:::'
Expiration Date 1(')- 1- qi')
Constr Contr.. Number .('-"",> W
Expiration Date q-/-9<1
C1:;;u~r=~;;;;rician
Owners Name
Address 44.i.JL.7 1 II (~ 01-,
Ci ty ~.. (J~, Ii I kL Phone 7</4- Q<::s-y(~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE:
RECEIPT I:
RECEIVED BY:
?- 3'-"7~
Ie:>/~ -
/7~
/t9'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 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 "B" above
D, Branch Circui ts
New, Alteration or Extension Per Panel
-L $ 35.00 ,35.()()
'One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Hiscellaneous (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% State Surcharge
TOTAL .
35,()()
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