HomeMy WebLinkAboutPermit Electrical 1993-7-20
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SPRI~~.
The following project a9 submitted hae the followin
,'?:or~i"g. and does not require specific lam:! use
ap;"rvval.' ,- ,
225 FIFTH STREET 'f'o"JJ _
SPRiNGFIELD, OREGON 97477 Zonina r(l~
INSPECTION REOUEST:72~;V69'1.,'1,.O.q ~ Ci ty, job Number
OFFICE: 726-3759' (A~~_
" Aumorlzad Signat~e~ -"" COH,PT 17T17 17'RE SCHEDULE BELOV
L LOCA't!ON' ~INSTALLAtION
,.!) ()O \ ~r)\\ f\^-Q ) A.
LEGAL DESCRIPTION
~\oJ~,\D~~b i ~~) ~ '
Permits ~non-~ansferable and expire
if'work is not started within 180 days
of issuance or if work.is suspended fo~
180 days. -
!
Electr~al Contractor
Address ""
'~
, 2. CONTRACTOR' INSTALLATION ONLY
City
/
~one
Supervisor
Expiration
"
.~
~,4~
Number
ELECTRICAL PERMIT APPLICATION '
C3 \()\ 1
New Residential-Single or ,
Multi-Fa~ily ~er dwell~ngunit,
Service" Included: .
Items
1000 sq.ft, or less
E~ch adftitional 500 '
sq. ft or portion
thereof
Each Manuf'd Home or
,Modular Dwelling
Service or Feeder
B. Servic~sor 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
Reconnec t Only
Cost
Sum
. '
gnature of Supervising -Electrician
$ 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 Re1'ocation
200 amps or less
201 amps to 400 amps
ver 401 to, 600 amps
o 600 amps or 1000 volts
$ 40,00
$ 55,00
$ 80.00
see "B" above
Owners meci\O *' \ ~~k)' ,
Addre', J _ .: ~9 'VCD\ t ~ ~~ew, ~lte~ation or Extension Per Panel
, \\, \---.\ ,-" ) One ClrCUlt $ 35.00
Ci ty ~ ~ ~.\....x ' Phone ' Each' Addi donal
, ,- Circuit or with Service
OVNER INSTALLATION or Feeder Permi t'
The i~stall~tion is being made'on
property I own which is not intended
for sale, lease or rent,
~::;Z1n\0;~, .,.
, ATE~-----~(-:--~~b;"7J~--av~ VA~-
RECEIPT .: " ,_'... ' q S~ t--J
RECEIVED B~~, ~)
Miscellaneous (Service/feeder
-Each installation
Pu~p or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
D.
Branch Circuits'
E.
5,.
SUBTOTAL OF ABOVE
5%'State'Surcharge
, TOTAL' '
$
2.00
not included)
$ 40,00
$ 40,00
$ 20,00
$ 36,00
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+11 uU
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