HomeMy WebLinkAboutPermit Electrical 1993-6-23
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SPRINGFIELD
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The 1,1'-...'"" ~'niAol as submitted h., th;l',"O'ling .
zc, , . . . '"!ct r3qulre specific Ir.:lt:' ~
225 FIFTH STREET ap,"(, "'I ..<\ ..L~r. '6V'. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . \ \.,.....- t,.Iv' 9
INSPECTION REQUEST: 726~3l69 ...U... ./' City Job Number '5&'1" :~
OFFICE: 726-3759 Date ""b..::'\:?31
1. LOCATION OF I~!IT;ilr~TioN"''';'--O~
:<S~S- fi? /YlCFt.A.
. LEGAL DESCRIPTION
II (')---:2 :2,tJO()
OI'1:J,C)
JOB DESCRIPTION
Fuel_ .At1"J~~ - .;&er~
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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
Address
City
Phone
-
Supervisor Licen.se Number. S ~ g 4 .5'
expiration Date /.tJ /1 / 4 s~
Constr Contr. Number . '"'""
Expiration Date
Signature of Supervising Electrician'
'f ,/0~' --
Owners Name L/r5?);:!.t'e.r /'7
Address-L~'5'/') y, 42~ sE-
Ci ty :}O~ Phone 12.? - .J 2 7S-
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
'JlJ~ture: _ . .
X-----~-~-------~-----------------------
DATE: ~ - 2.3 - r 3
Rt.""J.PT. I: ~I 7?J
RECEIVED BY:. _~~
3.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or *.
Hulti-Family per dwelling unit. .
Service Included:
It ems Cos t.~ Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
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
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.. Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 ~6c
Each Additional
Circuit or with Service
or Feeder Permi t . c::- $ 2.00 /O.{)>O
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5..
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
not included)
$
$
$
$
45.~
'p~
-i'72r~ .
No F68 .
c,,1111Jo/fM?l1t1
40.00
40.00
20.00
36.00