HomeMy WebLinkAboutPermit Electrical 1993-12-20 (2)
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SPRINGFIELD
. ~~j~ol:"..~~g project as s~bmlttad heathe Ion-. ·
225 ..~..... STREET appro~~I, does not roqUlre specmc land u96El!i!cnuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 /' qal'"'-fI I
INSPEcrION REQUEST: 726-376900;n9_ '-- C City Job Number -:J\ H'1
OFFICE: 726-3759 Dat.,~~.9?_ I 'd.- ~.o~~JLETE FEE SCHEDULE BELOV
1. Lp~1'!OJi... OF INSTA,LI!ATION>? Sj~n~e_S~.
~';:::{) rY\(\,.f' ~nnO.A n. 1:,::.- Re~irlpntial-Single or
Hulti-Family per dwelling unit.
Service Included:
, LEG....~ D~~PTION /1'\/1 ?,1iV''\
1 f) r 't-1:- -')d.,?, \ CJci...... t.l.J
lo~ffg~~N ~fj ~(jrfL
Permits are non-transferable '~d expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRAcrOR INSTALLATION ONLY B.
Electrical ContractorJ(,Jd E...}e ('-'121<-
Address P.O. Bo")( I D (P 7
CitySpr:/J. D., Phone_'7J.~ -C(3SJ3
Supervisor License Number ;)& 7/ ~)
Date ID II J fjJ
Expiration "
Constr Contr. Number 20 -}7'J t!-
10 I, /'13
Expi'ration Date
~ ~ctrician
own:~e.6nJtU~()~L D.
Addres~ ~,::)~N\r't Q" n&-J '
Ci t~ JAl rl -' Phone 'l!J1()~ 0. ~
OVN lR b!STALLATION
The, installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE: -, 10 ?-~-1--------
RECEIPT, I: ,,'1..'/,1 V~AJ:f%r71' _
RECEIVED Br", :4R'-~/. 1"
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Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~
201 amps to 400 amps
401 amps to 600 amps --I-
601 amps to 1000 amps
'Over 1000 amps/volts
Reconnect Only
$ 50.00 5D
$ 60.00
$100.00 }1XJ..
$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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BtI above
New, Alteration or Extension Per Panel
One Ci rcui t
Each Additional
Circuit or with Service
or Feeder Permi t
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/-60,00
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