HomeMy WebLinkAboutPermit Electrical 1993-5-27
SPRINCFIELD
The f011owi.ng proj~ct as submiitecl haG the following .
z(";". ariddQ0Snot rsquire specific land use ELECTRICAL PERMIT APPLICATION
9747 rOVfj.1. -
726-376:9Jnirig L D ~ ,., Ci tyJob Number 9 2// ~'7
D:\tq_ ; ...rlvlJj) 3. COMPLETE FEE SCHEDULEBELO\1
1. 'LOCA~T ON OFINSTALl.:A.l'.;r..ON;d Signature J ,t- .
J?'~?' ~/cVLJJ~ A.
-- .
LEGAL DESCRIPTION
/7&5 2...~ .~ 2.
225 FIFTH STREET.
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
'7:10 t)
JOB DESCRIPTION
~MAee8 C~P'~~_,
P2rmits are non-transferable ~nd expire
if vork is not started vithin180 days
of issuance or if vork is suspended for
180 days.
2. 'CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ci ty
Phone
Supervisor License Number
Expi ra t ion Date
"
Constr Contr., Number
Expiration Date
Sl~~ature of Supervising Electrician
Owners Name ~;-= ).Ie-a
Address J 342 ~n7VV/rtL-
Ci ty.UO Phone 14~ ".("~"'5'9.;
OVNER INSTALLATION
The installation is being made on E.
property I own vhich is not intended
for sale, lease or rent.
OvnersSignature:
X'~!J/' 'I ~g7,
+---:lilY.!-~-~~~_~.ll"-~_L~__~__-~ .. 5.
DA1'R:..>> 5 - 2 7 - 5' 3 ' '. ' ,
RECEIPT I: ~4~
RECEI~D BY: ~~
New Residential-Single or
Hulti-Family per dwelling unit.
Ser~ice Included:
Items
Cost
Sum
1000 sq.ft. oi less
Each addftional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B., Services or Feeders
Installation, AlJerations
or Relocation:-
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300..00
Reconnect Only $ 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
$ 40:00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
Newl Alteration or Extension Per Panel
---- $ 35.00 ' :?S:Z:>O
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
$ . 2. 00 . -'-DJ> e
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Com~
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$
S
S
$
.fi~
4- 7. . 2J:.F
40.00
40.00
20.00
36.00,
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