HomeMy WebLinkAboutPermit Electrical 1993-1-11
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225 FIFTH STREET approval. h D <?'" ELECTRICAL p.ERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zening__ - q '":2 ("'()2" /
. INSPECTION REQUEST: 726-37~9 1 ~ \ )- cr3 .. Ci ty Job Number " ) ) X
OFFICE: 726-3759 D,,,e_. --- s<: _
Autherized Slgnature~..--coJlPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
S-~S- C ,TY V,e:c.....J.
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[it)~WION ()42/fJ
JOB DE~CRIPTION .
c,:><v \.(, II.....<Z. 5 ... c~,..: tv Sv <: ~
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRAcToR INSTALLATION ONLY
Electrical Contractor
ApT
Address IS c:n ?"'...... /
City
ev~~.........
"
Phone
)
Supervisor License Number
'9S-z...~u=
Expiration Date
/0-1- '73
Constr Contr; Number <:;;i"i'i'-f
Expiration Date
'f- 2'7- "i J
Signature of Supervising Electrician
"lf2. ,VI;~. _...Y
Ollners Name 12"" 1,....-../
Address S ~.
Ci ty Phone 1 t... {" - 't Sot.
("'-"--
OVNER INSTALLATION
The installation. is being made on
property I ovn vhich is not intended
for sale, lease or rent.
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Ovners Signature:
~~~~~==-~----r=~:~~~-------~~---
RECEIP'I 11: I 1.--= '/:.L:.r;X
RECEIVED BY: (.,,'~~((J~~_r
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. 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 1000 amps/volts
Reconnect Only
$ 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
Limited Energy/Res
Limited Energy/Comm
One Ci.rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
$.CO
( . ur.;
r<l.J ,if J
x
40.00
40.00
20.00
36.00
217.0<7