HomeMy WebLinkAboutPermit Electrical 1993-1-13
The fOIl.9 project cs sU,bmlacd. rys'": th~ following ~
225 FIFTH STREET zoning, and do.o not ro<;'"". S:'~O..IC !on~ "EO ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974'Piova'. (' ( . n I) f'V"'...~ c=
INSPECTION REQUEST: 726-3769n1oo Ci ty Job Number '-'/...")( 1 I:J~
OFFICE: 726-3759 Date ,- \,z,.:=i} , -
~ r 3. COMPLETE FEE SCHEDULE BELOV ~
1. ~ql(jTWN PJ\ ANS'I:ALI.lti~d Signature ) ,.J
"':""''1!Y..:t II K i g.fl V'J10o TA. New Residential-Single or
Multi-Family per dwelling unit.
~~ Service Included:
I rrt5 ~~~~rN
-
((\JOB DES~PTIO~ ~
V nQ . (' J JI (/11 J Y ')
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 INSTALLAV~N ONLY
Electrical contractol ~\ Q Pi-.
Address \q ~f)d\ !:)rb~ ...7
Ci t~IJD~OJ1L Phone 14l- Jlm
sup:r~;~r ,icense Number <..~4[)D
\ () . \ ,C\C\
Expiration Date
Constr Contr. Number \ ~ 'll\ ~
,~.~~.q~,
Expiration Date
Si at~~ Electrician
.,m N"''11w..cr~ ffiJ ~ rm
Address ~A \4 \'0rt Q ^- )
Ci ty'"'l: ~ ~ Phone
OVNER IWTALLATION
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-----:------7~~~t1l-~---------
RECEIPT 11& P ~!-l 0V\
RECEIVED ~OJ:.o_) .-' \ ,
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
Cost
Sum
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t \
Each Additional
Circuit or vith Service
or Feeder Permit
E.
s.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35. 00 .~ ':S ~
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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