HomeMy WebLinkAboutPermit Electrical 1993-4-12
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225 FIFTH STREET ~,>-,:,:~~,,\. c ~'--~bECTRICAL PERHITAPPLICATION
SPRINGFIELD, OREGON 9747T"'? ';"0,,1<'" _~'1
INSPECTION P:QUEST: 726-3769 A~ City Job Number, q3cJ4-5~
OFFICE: 726-3759 \)".,....----- <,;,<:P"\"'. ,
.\1.00 3. COMPLETE FEE SCHEDULE BELOV
1.LOCA~INSTALLATION"vS'0,
, /1'116 I Hl-BI=.7i::T ' A. New Residential-Single or
I.. l " /' Multi-Family per dwelling unit.
,IAG~CRIPTION " Service Included:
/Y~('J-:J-OC;Z::3 dol Items Cost Sum
200 amps or less $ 50.00
~ amps to 400 amps $ 60.00
4 amps to 600 amps $100.00
J 1 amps to 1000 amps $130.00
~' 0 r 1000 amps/volts $300.00
Reconnect Only $ 40.00
.. C. Temporary Services or'Feeders
Installation, Alteration or Relocation
, -
JOB DESCRIPTION
E:~RIcm.. -a.NlIbJe7 .8R~~ R"J S,F, h;s,
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
Address
Ci ty
Phone
"
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name~hA>'-/
/7/7~/.,{(,. ..-
".. "
Address 32, 'jS~ T) sf. ~
Ci ty y;:, "f. Phone 72.L.
L- OVNER INSTALLATION
s'tL~
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~::!_::~-{!tt!l:----~-~ 5.
DATE: "--f"- 12-:'-"\.....)
RECEIPT I: 'fllJ..{1
RECEIVED BY:, ck\ 1\0 '~
1000 sq.ft. or less I
Each additional 500
sq. ft or portion
thereo f I
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
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 85.00 .?5~
$ 15.00 /5<e
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" ahove
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ ,2.00,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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