HomeMy WebLinkAboutPermit Electrical 1993-11-19
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SPRlNG!LO
The following project as submitted has the following
zoning, and does not require specific land use
225 FIFTH STREET approval. ,,0 ELECTRICAL PERHIT APPLICATION
SpRINGFIELD, OREGON 97477 Zoninp VVl,l}~ , qD\nf\/
INSPECfION REQUEST: 72~0i~769 lq~? Id-3e:,-Q3 City Job Number_.'-.) , Il )\..P
OFFICE: 726-3759
Authorized Signature ,<; 'S 'L rO""II1TI1 'lEE SCHEDULE BELOIl
1.' ,l;.OutION OFcIN,STALJATION J) ~
U/~L)-"\-lO~L\\ \..'\\~\I:)'{\OrJ_ eH) A. Nev Residential-Single or
, LEGAL DESCRI~,.-.r, 0 \ ~~~~~~~a~~~rll~:~:dvelling unit.
\ 'I D3M...~ l).-\.\cu.-> Items Cost
cQ
JO~)~CRIPTlON
~'.' V ~. \~~L\ \H'~,_:::- A\.AB
Permits are non-transferable and eKpire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. ',CONTRACfOR INSTALLATION ONLY
Electrical Contractor-1f;tv~{~ ~~~.r
Address 353 S ~5 It..
City Sr?
!
Phone 7'-1 '-I -II", r-
Supervisor License Number 3,77.s
Expiration Date
{04Y
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number 'if"i''{ 2 3.
Expiration Date
<_S"'-LH
Signature of supe~ing Electrician
&} df-~
.. Ol/llers Name.~ & ~.l.~
Address \\'\S -\:'1,_l"'>.1\l..\' ~
City, Y \ 'Y'~ 0<L- Phone ~<.\?r-~l "q2--
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale,! lease or rent.
OvOers Signature:
h
DATi~~----"\\~\0\-cr3-~~:'-~---
RECEIPT, I:. , I '. II M,"\.../\
RECEIVED BY: k&1 lL.-' -
~)-, '
1000 sq.ft. or less
Each additional 500
sq. ft or portion _~
thereof Q,(
Each Hanllf'd 1I0me or
Modular Dvelling
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
D.' Branch Circuits
Sum
$ 85,00
\'1D
QU
,
$ 15,00
$ 40,00
S 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
S 40.00
$ 55.00
S 80.00
see "nil
above
Nev, Alteration or EKtension Per Panel
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
S 3).00
)
$
2.00
not included)
$ /,0.00
S /,0.00
$ 20.00
$ :\6.00
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