HomeMy WebLinkAboutPermit Electrical 1993-4-22
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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00 .,),OB D~SCRIPTION. '
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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 B.
Electrical Contractor .i.JAC,1AWr i:::.(fI'-Mc..
, .
Address 1.-L.~8 (P "Be h+S \2-d dE
Phone 07~ IILl)
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Ci ty !Tv.. vOy 6-
Supervisor License Number
Expiration Date /0 -0.r
Constr Contr. Number g-g- q.5~
Expiration Date 3-Z.~-qLf
Signature of Supervising Electrician
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Owners Name y.A-I-iA ~ ([ f5.-e...- D.
Address l L\ ~0G .~V A,( \.tVl -RI vel
Cit;&e IiU~(-hJvl Phone-f;L/ ~ ~ ~{8
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-------C~~\~~-:;------------------
RECEIPT I: , O:l,4"1
RECEIVED BY: 1QB
ELECTRICAL PERMIT APPLICATION
City Job Number q 3:J r 2.J)
3.
COHPLETE FEE SCHEDULE BELOW
A.
New Residential-Single or
Hulti-Family per ,dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 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
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
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t .Jo.kL $.2.00, 132-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $'40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
5. Ie? 00
SUBTOTAL OF ABOVE I -I <--
5% State Surcharge 61 bU
TOTAL -;:)D1.bO
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