HomeMy WebLinkAboutPermit Electrical 1993-5-12
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225 FIITH STREET l- .'
SPRINGFIELD, OREGON 97477 Q..C- _
INSPECTION REQUEST: 726-3769 I "/ o.}
OFFICE: 726-3759 r ,5'. I!c:. _I ~
1. LOCATION OF INSTALLAtr6N'"~~ S,gn~,"rov .
Z ss SOf/.J--t..... k A. New Residential-Single or
\-1 ~n Hulti-Family per dwelling
LEGAL DESCRIPTION, \ ,0'3, CU-.jc:;'>.D7 :/JOservi ce Included:
SfY/~/l'.tI ~eYVlce ~ Items
JOB DES~PTION 1000 sq.ft. or less
'IH€.-k// S=tai-h. 5""ws./~ Each additional 500
/ I sq. ft or portion
?ermits are non-transferable and expire thereof
if york is not started within 180 days Each Hanuf'd Home or
of issuance or if york is suspended for Hodular Dwelling
1BO days. Service or Feeder
City Job Number
r)K~LB:~ ~E SCHEDULE BELOV
9:?~~~?
uni t.
Cost
Sum
$ 85.00
$ 15,00
$ 40.00
Electrical Contractor 5_,:.{.".,,/ df
B. Services or Feeders
__ Installation, Alterations or
bv~~ Relocation:
2. CONTRACTOR INSTALLATION ONLY
Address ~C~ t/~~
/
q"J
Phone Yf".s-c./~~
57 ,eGT
Ci ty Ct/4~ L
,?
Supervisor License Number
Expiration Date
/0 -j -93
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
constr Contr. Number ZO-/d7' t::.tG Installation, Alteration or Relocation
Expiration Date
/~ -j- 9,,{
Signature of Supervising Electrician
/k~~
oY~ers Narri~ 1\1-0 r~0C(CQa'J) t-'
Address /)~ Go (--A ,~j ,
Ci ty~ .J Phone
O\IN ~ USTALLATION
The installation is being made on
property I oyn which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
~~,~y
'B y,::-'::2 '
/~ fj"- f--7
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200 amps or less
20l amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circui ts
$ 40.00
$ 55.00
$ BO,OO
volts see "B" above
New, Alteration or Extension Per Panel
One Ci-rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2,00
not included)
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
$ 40.00
$ 40,00
$ 20.00
$ 36.00
3(. <10
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1.90
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