HomeMy WebLinkAboutPermit Electrical 1993-7-30
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SPRINGFIELD
The following project ... IUbmltted h80 the
zoning, and does not require epectflc land
epproval.
225 FIFTH STREET
SPRINGFIELD OREGON 97477 Zoning Ce......
INSPECTION R.EOUEST: 726-376~al. '1-30 .'1 "'> Ci ty Job Number q '3/ /::2r.::. .
OFFICE: 726-3759 ,I"~. -.
Authorized Signalure_"I'l\<"('OM.ELE"'''' "''''''' SCHEDULE BELOV '
1. LOCATION OF INSTALLATION
ij22.-:=r ~~~ ~.. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
/7~'2-~~' '=3 "<. ~~
, J.9B DESCRIPTIO..ti.
J,;V;~.HZ;; ~ ?~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.
ELECTRICAL PERMIT 'APPLICATION
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2.
CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations
~(..,,~c:... or Relocation:
I.
Electrical Contractor ~~~ ,<,="
Address ,\Q""O ~ ~~
City ~~'C:> Phone\.~,.:o...Q,.."O
Supervisor License Number ~~~,,~
\0\"- \ a... ":J
Constr Contr. Number ~\'\~
Expiration Date ~~~~C\~
Expiration Date
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Address ~ 0 N--.n Q. ,If\. '
City ~-:lClliLPhone
OVNER IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED BY:
?- ""3::'-"7 :3
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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
201 amps
Over 401
Over 600
or less '$ 40.00
to 400 amps $ 55.00
to 600 amps $ 80.00
amps or 1000-vorts see "B"
above
Branch Circui ts
New, Alteration or Extension Per Panel
~35.00 ,%1:>0
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ ,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 ?"S-:: I:>P
5% State Surcharge /. 75......
TOTAL ' ~ _.....~
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