HomeMy WebLinkAboutPermit Electrical 1993-4-2
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SPR_FIELD
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225 FIITn STREET C: ,'0",'. . a.. ..e, r_~L:rJ c;1:cmc bod u~oWIE1.ECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 _ , /l 'IT\'::>:-O
INSPECTION JffiQUEST: 726-3769~_ltJ~ Ci ty Job Number Il../I.....l...-L J...)' 'J
OFFICE: 726-3759 C. ,) ,-/:-'1.-9 'S
, ~ - - 3. COMPLETE FEE SCHEDULE BELOIl
1. LOc.u';ION OF INSTtLllATlliNignature~
"1 '6(,. '51",,& ~ {) VI... ' A--;--New-Res.idential-Single or
. .' 122)70 I'1pgJ Multi-Family per'd~elling unit.
LEVAL~DESCRIPTION C:I/, Service Included:
~"'--,./l C: rI() I terns Cos t
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JOB DESCRIPTION .... " r J
~~'^-! ~
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ('f/tW\~<< wdn-1L...
Address (7,0, I/!,o'/o.. '2. G,L( \
City w-c.-\..kvJ; Il.( Phone 74l{--o'1d')
Supervisor License Number 36" - S
Expiration Date IO('O/qt...(.,. 'L-
Constr Contr. Number_ 2o-z..cr'1C
EXPi~ation Date~~
SL of C;~ Electrician
Owners Name K-e..v A\~ vi}
Address '1l;(P <;~otkJlt.w O~
City 7r~ Phone /(1(- ~Id'
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~ers Signature:
DATE~-------~-\T\-,~--=--------
RECEli'i ii: ~_ _ l't'h ~
RECEIVED BY: (_ lY.'A /
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
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
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 "B"
above
Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit I
Each Additional
Circuit or ~ith 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'd:)
AS.
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