HomeMy WebLinkAboutPermit Electrical 1993-9-3
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SPRINGFIELD
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Thafolll')\lJi.." '"'PhI....... t"~ f'.:l,hmttt~rl hRSth~follow
225 FIFTH STREET zoning,' - ,"-', !untEIiECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approv?' \
INSPECfION REQUEST: 726-3769 Zon;r~ vi>(2. Ci ty Job Number 9'3J/?_~
OFF~CE: 726-3759 J. "._1. -?I.q 'J 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATlJm OF INSTALLATI~~, i!'^~ ~'^naturo vl>>v-- _
5"3'~5' ~AW'~ ,~7c3' ~ 1\. ~ew Kesfdential-Single or
. / Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/~-;r:r ~~ 6?~ Items Cost Sum
JOB DES~ON
CC&-?/ ~ $pt..u~"P~~
, ~... , -
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., CONTRACfOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
.. Olfllers Name ~r _"5:h'J_/J!"-;rr
Address ~
Ci ty ~L.7.? b!J':? Phone ?Yr7:2~"7
/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovnf)~t _
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DATE: '"'7 ~3'-~"3'
RECEIPT I:, /e:>/~
RECEIvED BY: /' -1-~'
,~ ~
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85,00
$ 15.00
.........-- $ 40,00 U'e:o_ -,
1
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
$ 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
D.- Branch Circuits
$ 40.00
$ 55.00
$ 80,00
see uB" above
New, Alteration or Extension Per Panel
One Ci rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2,00
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 y~ -
5% State Surcharge ~~
TOTAL ~._