HomeMy WebLinkAboutPermit Electrical 1994-1-28
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SPRINGFIELD
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225 ,FIFTH STREET ;,'p;"".\';':," _",-r.' o',ic<;;'"EIJiCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 7"n'"" t'l/l f\/'Y'"lO
INSPECTION REQUEST: 726-3769 _0 ...fL..I.:-C-..._ City Job Number '.....y--rU, J-1
OFFICE: 726-3759 [';:o__I-~__'S'5.=I_ " *
1. LQG/ltI;ONJf ~~AL...LAT;roN'.":h,.,;:~,jS!Q;l1"~l:e. COMPLETE FEE SCHEDULE BELOV
4\ ) l~'-T" \ "\ \0. 9..J:'\. SD\.Qo..,\ A. New Residenun-Single or
_ Multi-Family per dwelling uni t. . ,
~~fON ~ Service Included: Items Cost Sum
fOB DEliPUFTION . -Lc: ,
() l'l1\(\UL..{);'<;
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 INSTAL't.T~ON ONLY
Electrical contrac~O UpQ;;t
Address c!) ~I~. ,,'5t\ I, {"i 0 f? Pr:(
Ci ~y hI\M'rnCi1::i., Pho~
sup~sor Licen~e ~mber ~l7{)U7:)
Expiration Date 10 .t.qS
Constr Contr. Number ~~=S~
6.IQ,Q4
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 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
Expiration Date
.
Signa turr of super;~7Elect~cian
\I///a-W~~
. }\;er~me\DQD\r~\Q'0 ~'\Ql)
Address ,4\ l~ \'\\C\ ~
Ci ty ~ t,Q d Phone
i ' -
OVNER n.JALLATION
The installation is being made on
property I own which is not intended
. for sale, lease or ren t.
Owners Signature:
~~~~~-:~----~-7;JR~fB~----
RECEIvED BG~-)(")' ,
~
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 "B1I above
New, Alteration or
Extension Per Panel
$ 35.00 ~5~
J
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service~
or Feeder Permit ,')
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
$
/lJ.oo
2.00
not included)
$ 40.00
$,40.00
$ 20.00
$ ~O
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