HomeMy WebLinkAboutPermit Electrical 1993-8-5
The following project ' ~.A
z<Hling, and does not ~:qS~bremsitted'f~as, the following ~,
approv" pecl IC and 'I"'~ . ,
a. 'eLECTRICAL PERMIT APPLICATION
City Job Number q3J lYJ 4.
225 FIFTH STREET
. SPIUNGFIELD, OREGON
INSPECTION REQUI~ST:
OFFICE: 77.6-3759
97/177 Zonina t.,Op-
726-/J:I.69 '" e" ;""
L::~,~ n -'7-"'?y
1.
Authorized Signat~e ft;!t0'-;3'.
fqAlfJ) <}V) .!~T.~LLATION
\{YJ1L!A .Q. ) A.
LEGAL DESCRIP'l'ION
q JOB D~SCRIt!'JI-RN . ~ A, f) f81t r:r
LJUli3A'J ('""'"\UffLtJI LA) L~ (Ll1... J
Pcrmit:; arc non-transferaQle and expire
if work is not started within 180 days
of issuance or if work is suspended for
100 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractorhLls ~)ecfnL-
I ..L th'
Addrcss 3/70 ..{ )eST \. \
Ci ty ~ (JY1 fj Phone 34313.S3
Supervisor License Number 2084 CJ
J 0-1-93
Constr Contro Number 2/35 I
~J - / - 9 cj
Expiration Date
Expiration Date
OVNER INSTALLATION
COMPLETE PEE scnEDULE DELOV
New Residential-Single or
Hulti-Family per dwelling
Service Included:
uni t. _,,/:;:1' '
Cost Sum
$ 85,00 p)c;.
Items
1000 sq. ft. or less I
Each additional 500
sq, ft or portion", 00
thereof ~ $ 15.00 ~I
Each Hanuf'd lIome or
Modular Dwelling
Service or Feeder $ 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 100~ 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
$
$
$
see IIDII
40,00
55.00
80,00
above
200 amps or less
n 201 amps to '.00 amps
<~UieQf Oper;.t ::rici:-----,~::~ ~g~ ~~p~o~/~g~o volts
e--' M '. "" Y D,. Dranch CircUl ts
O\Jners ~ l\ Q .al~' ~
Add,e~~~Q'f\, --QC'-~blnd :::'c::::::t!on or ExtenS!onsp::.::nel
City V: ~ljL' . .->Phonc '.V Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
'Sign/Outline Lighting $ 40,00
Limited Energy/Res $,20.00
Limiied Energy/Com~ $ 36,00
T~e installation is beirig made on
property I own which is not intended
[or sale, lease or rent.
Owners Signature:
-~------'--~-.-~~,- -,,---------. ---
DATE: i :~.-'----.'-~\,) "'.
RECEIPT #: t \:. ~
HECETVED BY: u,~:~~'~,.._"~&)(/'~------
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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