HomeMy WebLinkAboutPermit Electrical 1993-6-7
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SPRINGFIELD
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225 FIFTH STREET ioni,',~ ~ '01'2
SPRINGFIELD, OREGON 97477 . C/.---/a)
INSPEC:ION ~QUEST: 726.",37.69__ _7. .:L n
OFFICE. 726-3759 A""^'i.C" <:ignoture I yyvv
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ELECTRICAL PERMIT APPLICATION
City Job Number 9'?3'c::";;r~ /
COMPLETE FEE SCHEDULE BELOII ?f
New Residential-Single or
Multi-Family per dwelling uni to
Service Included:
It ems Cos t Sum
1. LOCATION OF INSTALLATION III .11
J.-.V ac ~ L /I- r-y.
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LEGAL DESCRIPTION .
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JOB DESCRIPTION tro,f) lL , .
,e..JU.;Ic...~__ qL. houL. CI R..~vd:J
A.
$ B5.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Electrical Contractor '&.fl.4' 5 W~L
Address /':;,& W Ib
City b'1 ~ Phone 683 7u 17-
$ 15.00
$ 40.00
Services or Feeders
Installation, Al~erations
or Relocation:
200 amps or less J
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
B.
$ 50.00 '50
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
oJ
Supervisor License Number ~/~ ~
Expiration Date DLT Cf J
Constr Contr. Number 7S;"} 5' 5'
Expiration Date live; ,~
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Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
volts see "B"
200 amps or less
201 amps to 400 amps
Over 401, to 600 amps
Over 600 amps or 1000
Signature of
Electrician
above
Branch Circuits
/....- . D.
rfl4,JC, FLo c.c...h IN I
2-'1 7' S 1'7 A-A.- r:. () Ur
Owners Name
New, Alteration or Extension Per Panel
Address
One Circuit
Each Additional
Circuit or with Servi5ej
or Feeder Permit ~
$ 35.00
City Phone
$ .2,00 ?
OIINER INSTALLATION
The installation is being made.on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (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 C; 8
5% State Surcharge ;>,~~
TOTAL . ?;.h "9~
Owners Signature:
"
DATE:_ 4-:?-'7'f
RECEIPT I: ~~'2.
RECEIVED BY: /....?~
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