HomeMy WebLinkAboutPermit Electrical 1993-11-19
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SPRINGFIELD
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The following project a9 9ubmlt1ed has the folio
zoning, and does not require specific land use
approval.
225 FIFTH STREET 1M 1) e
SPRINGFIELD, OREGON 97477 Zoning_ I
INSPECTION REQUEST: 726-:N69 "1\",103 l-;):'-C)O-o/)City Job Number
"OFFICE: '726-3759 '" Q
Authorized Signeture '-::.) ;;J::: ';:':i. .'':''' SCHEDULE BELOV
1: L~~ON QF ~,~TALLATIQrf\
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~ >>ES~PTIO~" ' \J
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ELECTRICAL PERHIT APPLICATION
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New Residential-Single or
Hulti-Family per dwelling
Service Included:
Items
~JOB DE:)CRlPTION f'\/\ ^, 1000 sq. ft. or less cQ
\~::';~.l."_'_\.2:)\ 0 ,,/, \ ~'-:::e:LJl" -::.cillo\~t:r Each addi tional 500
\. > - sq. ft or portion _1\
Permits a~ non-transferable and expire thereof ~
if work is not started within 180 days Each Manuf'd lIome or
of issuance or if work is suspended for Hodular Dwelling
180 days. I Service or Feeder
'2." CONTRACTOR INSTALLATION ONLY
Electrical ContractorJY)rJ~(' ~^~.r
Address 353 :; G,lfff-.
City_ 51'
Phone 7'-{o..(-,I.. r-
Supervisor License Number 3,'7"1.5
Expiration Date
{04'1
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number '8','( 2 ~
Expiration Date <. ~ 5""4 '1
Signature; sU-K~ectrician
.. Owners Name ~ffi()t\ (~0 P 1 I 0_ D.
Address \ \ \\ 'S-. ili ~ \::.\1\ \ f' ,L)
City If\. \0.2 f\Q _ Phone,~'S\n3Z-
OI/NER ~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
owners Signature:
.'
'DATE:-----~--------1j1;~~~~-~--~
RECEIPT, I: '_ I ..)' \ 110<1'1'
RECEIVED BY: l':JN./)(;\.
,,,,'U):.. ,
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
uni t.
Cost Sum
$ 85.00 W
$ 15,00 "Q,f)
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
$ 40.00
$ 55.00
$ 80.00
see "ll"
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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