HomeMy WebLinkAboutPermit Electrical 1993-4-6 (2)
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225 STREET ~',s 'o"o"~,6 ";,.,~
FIFTH .,';11'\)'. ""
SPRINGFIELD, OREGON 91.47/1);"'. .
INSPECTION REQUEST: 126-3769,\\(\11, /\ '(V' ,
OFFICE: 726-3759 A;JJ>-'~e j'
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," LEGAL DESCRIPTION ()-:::>ri/'V"""',.
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u:tf^ ~E~C;UPTI~
Permits are n~ransferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INST~TION ONLY
Electrical contractor~\~. v\~Q9--'"
Address RSScu _ ))4~ ~,e >
City51::U2J\Q. Phone 1{JQ-/w
supervisoraLicen~e Number C{'t~
In. /.qc::,
Cons tr Con tr. Number (O~q /13..,r"J
LB . [) 'J . 9-.~
Expiration Date
"
Expiration Date
Owners Name
Addre~s(L{") '-"~ \
Ci ty _ ~. Phone J2.J.a1121
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OIINER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ----- 4, (0 .qr::s--- _ '"
RECEIPT I:~I "~ 'r-'I&11 j
RECEIVED BY f / 'i ^ \
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SPRINGFIELD
ELECTRICAL PERMIT APPLICATION
q-3Qifn
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
$ 85.00
l
$ 15.00
$ 40.00 ..ID
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
$ 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
$ 40.00
$ 55.00
$ 80.00
see fiB"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with service,
or Feeder Permit
$ 35.00
$ 2.00 rl
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~~
44 If)
SUBTOTAL" OF ABOVE
5% State Surcharge
TOTAL "