HomeMy WebLinkAboutPermit Electrical 1993-5-19
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477 c..c..
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1. ~~~ OF~F)L~~8\~ v-tJ' A.
LEGAL D~RJPTION
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~B D~SCRIPTION..J.-:-
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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.
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2. CONTRACTOR INSTA~LAT ON ONLY
Electrical Contractor i?f!1 ~
Address. A 5~R ~ fll t\ qq 6.1
Ci ty Yt )o~ (\0 ~ Phone!M.( ~ LfiCl1
Supervisor License Number rO[JC?S(~
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Constr Contr. Number CX"::lr03
In.\ ~O .q~
Expiration Date
Expiration Date
Signatprl\ of Supervising Electrician
?(tJ.) dt-~k_,-
Owners Nanie a.},~~ \)SA
Address ~ () ~ ~ ,Ai')
Ci ty ~I "Y'.#f\Q., Phone l~ lrr fJ.(yj)
OVNER I~ALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~~---~~:7~~L:,1~-S~~-~-~---~----
RECEIPT i: L'),'}~ r.....r.yr~1
RECEIVED BY: g~ U ~
SI.IIINt,;t:ICLU
COHPLETE FEE SCHEDULE BELOV ~
New Residential-Single or
Multi-Family per dwelling unit..~
Service Included: \
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Serv.ices 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
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~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit /
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
'- ~.<<)
(, p. c:,
.~.Stl~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL