HomeMy WebLinkAboutPermit Electrical 1993-8-25
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The followino proiect as sU,bmitted,~as the followi
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225~IFTH STREET approvai. ' ELECTR\ICAL PERMIT APPLICATION'
SPRINGFIELD,OREGON 97477 ".., . ,_ Wf-- \ '
INSPECTION REQUEST: 726-3769 LO~'C:., , , Ci ty Job Number e::7 '3//67
OFFICE: 726':"3759 Date 1) '}-'o A18 " '~" ':
. - J. 3. COMPLETE FEE'SCHEDULE:',BELOV
10 LOCATION OF INSTALLATION')rized Signature~\j- , .". _.-'""l} '>'-"
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LEGAL DESCRIPTION
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JOB 'DESCRIPTION
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Permits are non~transferableand expire
if work is not started within 180 days
of issuance or if work is suspended for
180 da'ys.
2 ~ " CONTRACTOR INSTALLATION- ONLY'
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
,~
Owners NB;mep~ L. (?~/.//.s
Address /7$1 &~#',.4VE '
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City~ m:., Phone ?7/?-/A/S-
O\rl~t.A INSTALLATION
"
The installatiohis beirig made on
propeity I own which is n6t intended
for ~al~, lease or rent.
~at~r. ~
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DATE: 8..,26 -9~
, RECEIPT I: - /~~ 7
RECEIVED BY: //~
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New Residential-Single:" or
Mul ti-Family per dwelling uni t.
,Service Included: .
1000 sq.ft. or less
Each addition~~500
sq. ft or portion
thereof
E~ch Manuf'd flom~ or
Modular Dwelling
Service br Feeder
B~ Services or Feeders
Installation~ Alterations
or, 'Reloca t ion:
200 amps or less
201 amp~to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
~ $ 50.00 tfiiP- ~
$ 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 40Qamps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 5~.00
. $ 80.00
volts see "B" ~bove
New, Alteration or Extension Per Panel
One Circui~ $ 35.00
Each Additional
Ci rcui t or wi th Servi'ce
or, Feeder Permi t tf $ 2.00
~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline ,Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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