HomeMy WebLinkAboutPermit Electrical 1993-10-14st'tilN(;FrELt)
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225 FIFTB STREET
sPRrNGrrELD, oREGON 9
INSPBCTI0N REQUEST. 726-
OFPICE: 726-3759 Dar+,
1.OF INST
as sub,Titted has therequrre specific lanC PER}IIT APPLICATION
City Job Nunber Z
FEE SCMDULE BELOV
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-------f_Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI.ATION ONLY
BIectr-ical Contractor
Address
ci ty fu*^, 0 ( Phone 3qq -SSZ"I
dential-Single or
MuIti-FamiIy per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ Bs.oo
$ 1s.00
s 40.00
I,EGALl1oa3 tat z o l)o c)
A ev
B. Services or Feeders
Installation, Alterations or-I.ar , Relocation:
200 amps or less \/
201. amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/vo1ts _Reconneet 0nly
Sum
JOB DESCRIPTION',
-,, |(r,L ("'
^cr-r.-u^
s s0.00
$ 60.00
$100.00
$130.00
$300. 00
$ 40.00
1oo ''
0t
Supervisor License Number lDgtS
Expiration Date_
Constr Contr. llumber ?fi;)aO
Expiration oare 3f t?f c) L
Signature of Supervising Electrician
Over 600 amps or 1000 voTts see rrgrr uf,f,[l-
D. Branch Circuits
0wners Name
Address 1)< N )) ^4 sL,Nev, Alteration or Extension Per Panel
Ci ty Phone
One Circuit $ 35.00
Each Addi tional
Circr.rit or vith Service
or Feeder Permit $ 2.00OIINER INSTALI.,ATION
c Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $
201 amps to 400 amps
-
$
0ver 401 to 600 amps $
40.00
s5.00
80.00
The installation is being made on
property I ovn which is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
RECETPT
E. Miscellaneous (Service/feeder not included)
-Each installation
Pnmp or irrigation
Sign/0utIine Lighting
Limi ted Energy/Res
Limited Energy/Comm
$
$
$
s
00
00
00
00
40.
40.
20.
36.
5 SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
2's?)
5p.s?RECEIVED BY:
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