HomeMy WebLinkAboutPermit Electrical 1994-01-04225 FIFTE STREEf,
SPRINGFIEI,D, OREGON 97477
INSPECf,I0N REQIEST2 726-3769
0FFICE: 726-3759
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prclect es submfrlod hae the 0b
ty Job Nuurber
FEE SCMDULE BELOII
Nev Residential-Sing1e or
HuIti-Family per dvelling unit.
Service Ineluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Hodular DveIling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocation:
APPLICATION
s 60.00
s100.00
s130.00
$300. 00
s 40.00
s 40.00
s ss.oo
s see t'Btt above
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JOB DESCRIPTTONins{a\/ Sec ur, {s Sus{eyn
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Sum
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Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
Electrical Contractor
Add ress
Ci ty pnone 40/-.5/"78
Superv isor License Ndmber /7t 3 T/-e
Expiration Date ,/2- / -?6
Constr Contr. Number
Expiratio n Da:re (a kf /fA
Signatqre of Supervising Electrician
ovners nane ZZZV'S /,"ZZq--/-
Address -{cz fJr) €
Ci ty Phone -l"z^ 4<
OITNER INSTALLATION
The installation is being made onproperty I own vhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
DATE:
RECEIPT
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect OnIy
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps _Over 600 amps or 1000 volt
Temporary Services or Feeders
Installation, Alteration or Relocation
B
50S 00
\
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Ci rcui t S 35.00
Each Addi t ional
Circui t or vi th Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S
Sign/Out1ine Lighting- $
Limi ted Energy/Res S
Limi ted Energy/Comm -T- S
SI.IBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
00
00
00
00
40.
40.
20.
36.w
RECEIVED BY
5
37 81)
2. CONTRACTOR INSTALI.ATION O}ILY
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