HomeMy WebLinkAboutPermit Electrical 1993-02-12sPt rllJ(;l: r1: Lt)
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225 FITTE STREET
SPRTNGFTELD, OREGoN 97477
INSPBGTION REQUESTz 726-3769
oFPICE: 726-3759 ).- /,,4 lu)
ELECTRI CAL PSRHTT APPLICATION
1. LOCATION OP TNSTALIAiTtrON,,:
=aa \
I,JSGAL DESCRTPTTON
11 r>t \1qL A&r aO
JOB DESCRTPTION
Lou.,Vu(tr^." 5..--.'i, S-, rG--
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COI'ITRACf,OR TNSTALI,ATION O}ILY
Electrical Contractor tnT
Address Jlcz r ?.-r I
Phone
Supervisor License Ndmber gt1 S L4-
Expiration Date
Constr Contr. Number {ts-t n
Expiration Date Ll .
Signature of Supervising Electrieian
4.!.!**^J
0vners Name ?,, t/
City Job Nuurber cl>t lto o
3. COHPI^ETE FEE SCBEDULE BELOS
A Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
Items Cost
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.oo
$ 1s.00
s 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_
0ver 1000 amps/volts
Reconneet Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
s 40.00
s 20.00
s 36.00
,LO.OD
200 amps or l-ess $ 40.00
201 amps to 400 amps _ $ 55.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr above
LD6/-
Sum
s s0.00
$ 60.00
$100. 00
$130.00
$300.00
s 40.00
OIINER INSTALI"A,TION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
D. Branch Circui ts
Onb Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
L l'liscellaneous (Service/feeder not included)
-Each installation
Pr.rmp or irrigation
Zo,rcc'
ti
e ergy
E d2/Y14i-(
Address
Ci ty
5*<-
Phone
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5 STIBTOTAL OF ABOVE
5f, State Surcharge
TOTAL
I "r)b
RECEIVED BY:U,VrnS-
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ltt - t- Ca
Nev, Alteration or Extension Per Panel
mi ted Ene /Res