HomeMy WebLinkAboutPermit Electrical 1993-4-8
;'",\\~:?
'1 J l' {N .., I ~ . ",.'i,l:~~1>.:.r
r;
. ".,\ '!('~;.!'"e "',. ~""..r.
Of 0"" ""0'- ~"" ' ~..
225 FIFTH STREET ~'r./,- 'oS."".')."'" .. '." ~~. ~~' "~~ECTRICAL pOERMIT A~pCATION 1
SPRINGFIELD, OREGON 9747"b0.' -~ \(^" G ::2N"'l
INSPE~ION REQUEST: /gQ)6~37P'9'Tt"(<Jl. y: City Job Number. ' ,( JlJT. .
. OFFICE. 726-3759 ,kJ,.-/ ",\"'./ l" I_a..
, \')f.'~...../- A ,?y;,\'"\c:.'IJ. 3. COMPLETE FEE SCHEDULE BELO\l V -lJC..)
1. LOCATION OF INSTALLATIm~\.l:.<;"
ZS- i CJ C4 "57 L 1:3 . "'f?"'Y'z
..',....
..),
11f()~6~~ ()~\(()
JOB DESCRIPTION
lo,"","Vc;)/.L.<;lL ~c:........J-, 57">~
,;
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 Cbntractor
A 1.:)'1-
Address Is-a ( "'V-e.-, \
)
,.)
Ci tYL::-"'L.~ Phone :> 'f 2-1 '311)
Supervisor License Number ~<";-2..- ~ l. C
Expiration Date
It?-/-C])
Constr Contr. Number >'71 '1'-f
Expiration Date
t..r - 2 '7- 7 '-f
Signature tf. Supe?jsing Electrician
vefl .~~
Ovners Name '3 ~ U""'-<.)'...L".... >~L-- k.
Address
s ~t-....(
Ci ty Phone 7 26 -~~05
OYNER INSTALLATION
The installation is being made on
propeity I own' vhich is not intended
for sale, lease or rent.
,.,,),'.
'...,
Ovners Signature:
~~~~~------~~~~-~~-------~-----
RECEIPT *: ~p ~ P-r70")
RECEIVED BY: ( l ;-Jj~ --
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. Servi~es 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 1000 amps/volts
Reconnect Only
Items
Cost
Sum,
,,'
$ 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 Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each'installation
Pump or irrigation
Sign/Outline Lighting
,.-b-i1ii"i ted 'Ener~v/Res)
"-u.mi ted' Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE ,
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
)C $ 20.00
, $3(0
&?'W
,.Q r~cu
10,t9C>
-, '