HomeMy WebLinkAboutPermit Electrical 1993-12-20
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The following project as submitted has the followi[IjL .~-
225 FIITI1 STREET zoning, and does not require specific land use ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9"'f417'val. I ~ 0
INSPECTION REQUEST: 726-37i&,inp ~ City Job Number 9~ J 5l?~
OFFICE: 726-3759 Dete IOI~ I':). -~~q-~ -
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTA~lIlI()N Signature \' C'
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york 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
Ovners Name ~.k: :'i__AIJ&67tt.,f;
.
Address 2?"'&>1- Ab-s~tos"s.-.a.-.
Ci ty ";:\.#r"t'} Phone 1fl-tJ/2.'7
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saie, lease or rent.
_ O;n~gnature:
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DATE: /~ ~~ -"''3
RECEIPT II: II~/e>
RECEIVED ny: /.. ~ _ o_~.
,
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 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
$ 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 "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t 1./ $ 35.00 .35:cra
Each Additional
Circuit or vith Service
or Feeder Permi t 2- $ 2. 00 ~Q
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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