HomeMy WebLinkAboutPermit Electrical 1993-7-8 (2)
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The fol!n'.OJ;:"\C'II"''''''''~M ~. (':t,. .;n~' :':-' -:-;~ usa
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225 FIFTH STREET appro.oi, " D~ ELECTRICAL PERHItfPLICATION
SPRINGFIELD, OREGON 97477 zonii'r__~\:/ 't::l.r"\ ()/\ c::::.
INSPECTION REQUEST: 726-3769 -1 )~\Ol~ Ci ty Job Number U),:-j\V
OFFICE: 726-3759 Om. . ..
. 1I,",whedSionatu:o 00,3._COHPhETE-FEE SCHEDULE BELOV
1.IJ~<r)~0~~o.2 A. New Residential-Single or
,- (\ Multi-Family per dwelling unit.
l~E5~~ ffid['() Service Included: Items Cost
S~ ~~l\l"r;ON 53loC;Sf1
2. CONTRACTOR INST~ION ONLY B. Services or Feeders
, Ctu1Th Installation, Alterations
Electrical Contractor ) ~ (_,' .Jf.~location:
Address l \ ~()?fu 'oM<t1 tD rt*%~mps or less
. e ' 201 amps to 400 amps
City ~j J(; Phone~ -~,~~ 401 amps to 600 amps
- . 601 amps to 1000 amps
Supervisor cen.se Number C-1 0 l4S Over 1000 amps/volts
\D '\ q Reconnect Only
Expiration Date . \. ~
Constr Contr., Numberl Q (.o~q4
Expiration Dateh"8.. ~.Cf4
Si~~Electrician
~-' Ll u~ I
Owners '''lie l-.I .. r mn
Address ~Il ~1I
Ci ty ft WJl.Q .-/Phon:~'
OWER I~~Ll.ATI~N
''\.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
I
:i
Sum
~
'is
$ 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
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-------:--"-ftrpr~~~
RECEJ.1"r I: ~. .. _ ' ,
RECEIVED BY: l ~r(J )L,~ _ ,
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "8ft
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
'One Ci rcui t
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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