HomeMy WebLinkAboutPermit Electrical 1993-06-21'(".... °dCa Ji.I�1
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225 FIFTH STREET projed
��t�� ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477.
INSPECTION REQUEST: 726-3769 to �D�"""'"" "� City Job Number 6,41OFFICE: 726-3759�a-I � `�3
3. COMPLETE FEE SC DULE BELOW
1. LOCATION OF INSTALLATION
New -.Re -s idential-Single or � V,IVA
.Multi Family per
dwelling unit
LEGAL`PI
rr
DE SCRIPTION "''''`� Service Included..> `� `. �"�--`- '�"
z lip )IOC> I tems Cost Sum
JOB DESCRIPTION 1000 sq f t or less $ 85.00
Each additional 500
sq. f t or portion
Permits are non -transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf I d Home or
of issuance or :L'f work is suspended for Modular Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY Be Services or Feeders
Installation, Alterations or
Electrical Contractor OREGON ELECTRIC... SERVICE Relocation:
Addressco� 200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
City P h o n e.%3., q.11 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
supervisor!' icense Number Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Expiration Date /U -
C. Temporary Services or Feeders
Constr Contr. Number �P��(U C • Installation, Alteration or RelocatJon
Expiration Date_ 200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Signature of Supervising Electr:*LC3*.anOver 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
7d
ONNOWD
L D. Branch Circuits
m Qwners Nae � ki'l
New, Alteration or Extension Per Panel
Address (� �ej _ � . _a(� j�-�
One Circuit $ 35.900
C ity LWd4.� Phone Each Additional
Circuit or with Service
OjTNER STALLATION or Feeder Permit �_ $ 2.00
The installation is being made on E. Miscellaneous (Service /feeder not included)
property I own which i's not intended -Each installation
for sale, lease or rent. Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Owners Signature: Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
------------------------=-------------- 5. SUBTOTAL OF ABOVE
DATE:2 5% State Surcharge
RECEIPT # TOTAL �
RECEIVED BY
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