HomeMy WebLinkAboutPermit Electrical 1993-4-2
~"'IIN<.;.I' IELU
, ' '
'rhe follOwing project b' . ' ' . . ,
zoning and d' as s!.~. mItred h'E'll~vr:Rw0AL
appro,:al. oes not reqUIre specific land Use ,~
97/.77,
726-3769 Zoninp LOti.. City Job Number
Date t./- z- C} ~ 3. COHPLETE PEE SCHEDULE DELO\l
1. L%t8\IOtj OP ~~~LLATIOI'0~rt~, iz";d Signature ...JR#. . .
_ )~ '-A:' 1J\ ,1Ql Q_, (i. O~ A. l'lew '~'e'si.d'7n.t-i.a-1-Single, or .
. MultI-FamIly per dwellIng unIt.
U~. G~Lrn;s.1 CR!, Pf\ON 1\ F'\.::1 . Ser'vice Included:' .
C^{-)I~) I -:J J \ \. L LUl 0 Items Cas t
~qIL DES~~!ON1 1 {(ltrJ [J' 1000 sq. ft. or less J $ 85.00
~') \-. i.Kill~n Of\[\~ ~(.J Z/ Each additional 500
sq. ft or portion I)
thereof ~
Each Manuf'd Home or
Modular Dwellirig
Service or Feeder
225 FIITII STRImT
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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 INSTAU.AT)ON ONLY
Blertrical ~ntractor ~1~FSr
Address~~tJ ~~c r~~
Ci ty\\tl~l ~ ~C Phone ~ 9-& ?~Cf5
Supervisor License Number
Expiration Date
Constr Contr. Number
c93l D
~\} ~ .93
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent~ .
Owners Signature:
~~~;~-~--~~-~-l~~Cf~~-~~--~----------
RECEIPT #: ~'Ui..(tfJ
HECEIVED IIY: .'
-... ..... ;- ... -~ ----------.-.----...--------
D.
Services or Feeders
Installation, Alterations or
Reloca t ion:'
Sum
$ 15.00
as
\ - tj()
200~amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over iooo amps/volts
Reconnect Only
$ 1,0.00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
C.
Temporary Services or Feeders
Ins~allation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 am~s or 1000 volts
$
$
$
see "D"
40.00
55.00
80.00
above
Signature of Supervi~ing Electrician
~ ~""'^^~
~ li. ...J,' t ~ D. Branch Circui t,s
Owners ~am.;,19,'l) 0 /'-\\.A J.. ,^A y'
^ddress~ [i)W~' I liliL~~~ New, Alteration or Extension Per Panel
City ,0/ '~-10.) Jph~nc ~ 1Eb~3t'o/g . ~:~hc~~~~~~onal $ 35.00
\, - -- - Circuit or with Service
O\lNER INSTALLATION or Feeder Permi t
$
2,00
E, 'Misceli~rieous (Service/feeder
-Each installation
Pump or irrigation
SignfOutline'Lighting
Limited Energy/Res
Limited:Energy/Com~
, 5.
SUBTOTAL OFADOVE
5% State Surcharge
TOTAL
not included)
$ 40,00
$ 40.00
$ 20,00
$ 36,00
'i~lj)
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