HomeMy WebLinkAboutPermit Electrical 1993-11-19
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SPRINGFIELD
The following project as submitted has the follow!
zoning. and does not require specific lend use
epprovel.
225 ,FIFTH STREET l'~1\ f'\Q ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning' l'IA) q,f) \1'1 f'\.c--
.' INSPECTION REQUEST: 726D~l69 II h"'ll",.", {~-dC:>-O'J City Job Number :"\ \" \1.. D
OFFICE: '726-3759 ,/~
Authorized Signature 851_ COHPLETE FEE SCHEDULE BELOIl
I; ~m:p{~S:~~h)Wr0 I ~ A.
LEGAL DESCRIPTWt! . lJ"
\5\11~~ (4 ~ \ ( }-\ g(f\
~ JOB DESCRIPTION,,] "'^.. -::: "\ J D 8'
\ \ \ \ \\..Ill{ L~('A rV ('HT'J
permit~~~ non-transferable and eKpire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2." CONTRACTOR INSTALLATION ONLY
Electrical Contractor.1f~~I~ LJ&~~'r
Address 353 S ("tf ft..
City Sf'
~
Phone 7'-{ ~ -II ~ S-
Supervisor License Number 3,"'11.s
EKpiration Date
/04Y
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number '69'i 23.
Expiration Date
.~ _ 5'"-'1 Y
Signature Of1;upe ising Electrician
9.. ~
.. Owners Name ~\\l\\ ~f\ V \to
Address \ \ \.'; \ \\0 t\M ~ '( .,
Ci ty f m~ If\ Q - Phone!!A..~ .'6\J\L
~VNER ~STALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
!
OWners Signature:
.'
DATE:
RECEIPT 11: '
RECEIVED BY:
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New Residential-Single or
Hulti-Family per dwelling
Service Included:
Items
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion ~
thereof d
Each Manuf'd 1I0me or
Hodular 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.' Branch Circuits
uni t.
Cost
Sum
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J.D...cO
,
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55,00
$ 80,00
see tlD"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40,00
$ 20.00
$ 36.00
(\~()n .00
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