HomeMy WebLinkAboutPermit Electrical 1993-6-15
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130 f)Y&:-V1'Z~
SPRINGFIELD
The. fc1l0\.'/jn::l.!'rojEl~' ['~ f\::-bf,;~_"'-':.' I~:-:"' i:'-:l fcB::;',:ing
zcnlr,g. and C.C3E: (10.. r.:.t;u::3 ::.,;:.c~::c L .;:- us.,)
approval. -
JOB DESCRIPTION i 1000 sq.ft. or less
. 67:r-S 'F",yLtt.;v.rwce. ~ Cc-'1..d,lf,f74, ,Each addi tional 500
- _ . 0,Iu.....:>l sq. ft or portion
Permits are non-transf able and expire thereof . .
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
97477 Zoning L-./J fie
72~6t~769 6Lp-LrJ
!hw3.
Authorized Signature
LOCATION OF INSTALLATION
31'J'1 L C'...lv. ~ k.tt.
I pt~~lj~~ON mctt)
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ('~(;e11.. ~Ic....
Address f,o l fSc 0- '2.-6 Y
Cityeuvr-ekv'lInCt Phone 7l(Lf-d'7o~~
Supervisor License Number :3b&7~--~
Expiration Date /D/2.'-II0. '-{
/ "" C.
Constr Contr. Number c2o'-2-"1Q e....
Expiration Date 19/2.. y/q C(
. I /'
Signa~re of Supervi~ Ele~t~i;Jan
~'vrl~
tl " D.
Owners Name ('" ~/ n1 c.Le_nd
Address ~ '7 'I 'L dc-I.!). yU) l6..e..
City Sjt*(d Phone 7'2-(" -.3YS-cr
OVNER INSTALLATION
The installation is' beirig made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-----------------r---------' A ~-----
DATE: . n . \S .IJ\--....J
RECEIPT I: - f' ~.. ~
RECEIVED BY: /"--'AJ...LX A';' I
~l -
ELECTRICAL PERHITAPPLICATION :-1-1 c2
City Job Number. C{-:30 n-()
COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feed~rs
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00.
$ 40.00'
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 100U
-$ 40.00
$ 55.00
$ 80.00
vol.ts see I1B"
above
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00~.cj.J
$.2.00.~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
;
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5..
$ 40.00
$ 40.00
$ 20.00
.$ 3Q()
,-~1 .
I h~..c.,
~-'-,9>.~co...,
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .