HomeMy WebLinkAboutPermit Electrical 1994-3-1
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SPRINGFIELD
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, b ltIe<! hatllhe following .- -
225 h~.<> STREET Th9.IOlloWlno, crQI~\~~~~ir:GPec~iC land u.,ELECTRICAL PERMIT APPUCATION
SPRINGFIELD OREGON 9747701ng, and "ueo ,10 ~ q0.. 0.. c:::::-n
INSPECTION REQUEST: 726'E376~', On City Job Number -- ) \ r ') unl...
OFFICE: 726-3759 ZOning. I'v)-~ ' - '\
1~' ~N ~~f~i~" N3~.h':l.- 3. COMPLETE FEE SCHEDULE BELOV
. I I '\'. C' -nalu,i3 ffi ,4., .. <> 1 nti IS' I
, ..':'~ r.co>';" a - lng e or
_ - - Multi-,Family per dwelling unit.
'1-16~'fjf!Jf.ON 0~lrtf) Service Included:
A ..r.JOB DESCRl..PTION.l ~ \
L\-Y') \. \ f\a~A 1.
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.Ovr2.TC!;;'1 :::L;,~
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Address (,d'", () 0 JJF. ;;>q..,i. U, C-(
CityPo/ZTL/}#D Phone::2St- -;;Z-1og
Supervisor License Number i!3.L9 7- ~
Expiration Date (Jc.! / /99'<;
Constr Contr. Number ?!0C,Cf')
\I.!),~'
Expiration Date
Signature of Supervisin Electrician
-_~4 ,~. A
~A ~_1
.. Owners Nam~ ~ur ()..J\ . ~~ (1~ D.
Address.s34D~t ~Q~l ~)l9-~
City ~\c1. Phone~Rf41
O~ I~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~--------a~:~~~~-~-------~
RECEIPT ,~ , . - - '11't~
RECEIVED~B0,lJU:.L-), '
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
-4~
$ 85.00 jD'SD
$ 15.00
$ 40.00
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
$ 50.00 )00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less ~ $ 40.00 ;lOt)
201 amps to 400' amps $ 55.00
Over 401 to 600 amps ,$ 80.00
Over 600 amps or 1000 volts see liB" above
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Servit~ ~
or Feeder Permit ~ $
2.00
~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
s.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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