HomeMy WebLinkAboutPermit Electrical 1993-9-17
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SPR~a:D
The following project 8S submitted has the followi
zoning 8.il(.l.dou~ not require specific land use
225 ,FIFTH STREET . app'ov,1. . ,^^lJ'\Y1/ ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina IV'llJlv n~. . <!:::)
INSPECfION REQUEST: 726-3769 Ci ty Job Number - \ ,
OFFICE: 726-3759 r. .,. tj,n,~'
d S' t '~. COHPLETE PEP. SCHEDULE BELOV
1. ~~~~\N-;;r~
\rIrffl ~~~IOh~C\KJ
~OB D3SquFTION '\ \ A n rr
'--- J..",) \>,--l\.\ \ ~ N (f--'\()
per'mi ts ar} non~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. '. CONTRACfOR INSTALLATION ONLY
. ,
Electrical' ContractorJYJrJLI~ lJ&~~'f
Address 352> S (,,15 ft..
City st?
Phone 7'-4 ~ -II... r-
Supervisor License Number 3,7?.s
Expiration Date
(04'1
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Signature of Sup~~Sing Electrician
~p -;fr cu..' ' ~
.. "r", - _ . \.....f'" D Branch Circui ts
Owners Name ~~\O~ r/{)W L .
Address---L.L.0S \ [\ bTub t' )
P ) - n/f::< c:::../ LI One Circuit
City 1. etk'JlQ ~Phone_S'::)'I, )-....ll.V,Z-Each Additional
^ . Ci rcui t or IIi th Service
OI/NER INStALLATION or Feeder Permi t' ,
Constr Contr. Number 8'9'-( 2. 1
Expi'ration Date_
<,->-41
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
.'
tf -11-"1 ')
iT) '30 I
/f..~.
DATE:
RECEIPT, I:
RECEIVED BY:
New Residential-Single or
Hulti-Family per dllelling
Service Included:
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
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
uni to
Items
Sum
Cost
6\
d
\ ~(') pO
:6D
,
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ BO.OO
see uD"
above
Nell, Alteration or Extension Per Panel
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightinr $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL
lJn.o. OD
10.00
710.00