HomeMy WebLinkAboutPermit Electrical 1993-12-20 (2)
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225 FIITH STREET The, foilowlng projeCt as submitted has the foll!*,~ICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974 7ronrng, and doas not require specific land use
INSPECTION REQUEST: 726!3'lj%,,~" CC City Job Number c?.:;;:; / /} 5" 3
OFFICE: 726-3759 Zonina
, Date "\,,,, iC,,?I:;)_.3. COMPLETE FEE SCHEDULE BELOY *'
1. LOCATION OF INSTALLATI~ 00 'C
--1:LtJ LI (l y,..~ ~,hOrized Signature % A, New Reside.!ltial-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included: '
/"702-- ,5/ 4/ -4tJ7J Items Cost Sum
JOB D-'~.~WPTI.ON I' k. ~ _
dfl ~.A~~.J.'fI4~
,
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 B.
:# .:;lO-:t~~
Electrical Contractor EU~llfElt'dli<'~fVi",lVlC-
(J
Address p, (). !f....O't. ;:):StJ:l-<J
City &'/1111, tOt? Phone3W-~57.1
Supervisor License Number ~;t5
Expiration Date lolll3c;
Constr Contr. Number CJO';U)O
.~/nLU,
Expiration Date
Signature of Supervising Electrician
)! /!pA/{"r--~ ~; Y .
Owners Name ~, ~~
o
Address
Ci ty F'-<- C, r;{A/ E'
7'-1-10 H 73
Phone
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owner~ Signature:
--------------~-?:------~--------------
DATE:_ 11//7'/'13
RECEIPT IF: //Q,?'4('o
RECEIVED BY: .-.//~A-
't-(
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
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
fD. (1"'0
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
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 Permi t
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL ..
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
j jll . 0-0
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