HomeMy WebLinkAboutPermit Electrical 1993-7-22
;.
.,>f
.,/,4,',. ~.
?~'!flf__E~CfRICAL ~rn:-: cLICATION .
'_".:':py City Job Number ,2J:''Jln \
3. 'COHPI:;ET-E, FE~ SCHEDULE BELOV
L( QPff1~ ~\Srt~~~ L" 0-1-
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
LEGAL DE. S~P'JION ~. 1
\\()Q~\~ DL'~I
S~~~~morck f\~{L/ \ \cSf4-,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contracto~t>h J7,~~ f;[ul.Ja.t
Address! ~U J< /pU:, l h \.,vc.., ;( I/'f-
f - (
City put,~ Phone_loc;s";?f7j
f
Supervisor Licen~e Number 37~~~
Expiration Date ? /).-} -7r::
Constr Contr. Number ~
.,
iqO 'II "9
Expiration Date l/-' t;- ~Jj
, I
Signature of Supervising Electrician
'-/MJ jl-A~L
Ownet-s Name A {\ 'tI-- f k U I) if JO yvj
Address I)JR. () m~AJ
Citl<-~.ri JR~~~ Pfl~-
. mINER INSTAL~T~ON 041--7107
The installatiori is beirig made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE~---------ry~--~-~~-----------
RECEIPT I: ,__ {} (()C')~, _
RECEIVED BY: ~ ) fYli.J.1( Yw {J _, '" _
A.
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
-.L
c9
8e:;
$ 85.00
$ 15.00 ~~/)
$ 40.00
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
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00.
$ 2.00
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
(1~ICD
...s. I)~
-1r!JcJ, 'J'S
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL -