HomeMy WebLinkAboutPermit Electrical 1993-11-10
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Zoning, andd Jee! as submitted h
approval. oes not require SpeCjficara~~ followIng ,
225 FIFTH STREET '. 'I'D' n use ELECTRICAL, PERMIT APPLICATION
SPRINGFIELD, OREGON 97477' Zoning,,- '~ ' f<, ' , ,'., . "
INSPECTION ~QUES, T: ~6-37691/L/q B "---- . City Job Number ~, /://2
OFFICE: 726-3759. Auth' . ~ 3> , -: CNJ---- 93" ..".
, . , Or/Zed Signature ---..; . <) 3. COMPLETE FEE SCHEDULE' BELOV '
1. LOCATION OF INSTALLATION .
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LEGAL DESCRIPTION
/ 7..r;:::1-~9"J1~ ~.'2.~
JOB DESCRIPTION
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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
Electrical Contracto~
Address
City
Phone
Supervisor License Number
Expiration Date
New R~~idential~Singie or
Multi-Family per dwelling unit.
Service Included:
A.
200 amps or less
201, amps to 400 amps
401 amps to 600 ~mp~
601 amps to 1000 amps
Over 100~ amps/volts
Reconnec tardy
S 50.00
$60.00
$100.00
$130.00
$300..00
$ 40.00
Constr Contr. Number
C. Temporary Services or' Feeders-
Installation, Alteration or,Relocation
'Items Cost Sum
1000 'sq. ft. 'o'r less $: 85'.00
Each additional 500
sq. ftor portion
thereof $ 15.00
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder $ 40..00
B. Servic.es or Feeders
Ins talla t ion, Alterations
or Relocation:
Expiration Date
Signature of Supervising Electrician
~D.
Owners Name ~~".If~ L EAi?~/ /"7
Address-6"~:> ;f/'42. /fl, :5r- #-
'~. ' v'. ?8/<.
Ci ty ..~.,... '-Z:>Phone ~/-. ' '
OVNER INSTALLATION
The installation is being made on
property I own which is noi intended
for sale, lease or rent.
Ovne~s SI, ~ture: " .'
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) , .- (}94v-: D<r'
,--"",. "
---------------------------------------
.DATE:
RECEIPT .:
RECEIVED BY:
, / / -/tt> --9 :3 .
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200 amps or less
201. amps to 400 amps
Over 401 to 600 amps
.Over 600 amps or 1000
Branch Circuits.
~'$40.00 '/t?
$ 55:00
$ 80.00
v'olts'see "13" above
New, Al t'eJ:'a t ion or Ex tension Per Panel
MiscellaneQus (Service/feeder
-Each installation
Pu~pbr irrigation
Sign/Outline Lighting
Limited Energy/Res
Li~ited Energy!Comm
One Circuit
Each Add i t i onal
Circuit or with Service
or' FeederPermi.t
E.
5. . SUBTOTAL 'OF. ABOVE
5% State Surcharg~
TOT~ .
S 35.00
$. 2,00
n~t included)
$ 4Q.00
$ 40.00
$ 20.00
$ 36.00
V~.~
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