HomeMy WebLinkAboutPermit Electrical 1994-8-3
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SPRINGFIELo
"The tollowing projeclll8 oubmltted hE the foR
zoning, and do81l not requilll opecIf1c land U1l8
225 FIITH STREET approval. ELECTRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 ~C1
INSPECTION REQUEST: 726-3769 Zonlna
OFFICE: 726-3759 Dote t -J-'1<-<
n ~ COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INS)'ALLAT~rlz8d ~ '
V2~ q. .w~.(&" ~ . A. New Residential-Single or
, ,..- ,', Multi-Family per dwelling
LEGAL DESCRIPTION Service Included:
/7~~-?~-~:a_ &:'/~-z:s
.
JOB DESCRIfTI~
~ ~;>/-?',~~t:9?
Perml ts ~ non-tra:rsfb-aiil'e and expire
if work is not started within 180 days
of issuance or-if work is suspended for
180 days,
2. CONTRACTOR INSTALLAT~N ~~y
Electrical Contractor U ~' ~L
3<; /:1. (}JkJJ..""
Address
Expiration Date
Phone~tf- J.35"9
Number 6 /~-s:.
/!J -j - 1'5
City E.~,.~;,
iJ
Supervisor License
Constr Contr, Number .2D -/9-C
Expiration Date
I fJ -I - 9'9-
Si?Jture of Supervising Electrician
;J r;J
,l,..-<.hf/U1J t::">-" - -'
Owners Name--il~ uJ~'
Address </;J ;) 'l /11 ar;"
Ci ty hl,~Lphone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~:-:~----~~~~~-~---------
RECEIVED BY: / PJ,.. i ~3'",,:-_
"/
City Job Number
Items
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
'9 V/ /.< <::;
unit, ~
cos~m
$ 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
Extension Per Panel
:v
3<, 2.-
$ 35.00 .J'
Xi!--
2t-
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration or
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit /
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL ~14YdfZ>~~t::!'
~/'/. --
$ 40.00
$ 55.00
$ 80.00
see "B" above
/
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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