HomeMy WebLinkAboutPermit Electrical 1993-11-19
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SPRIN.tLD
The. following project e. submitted has the followl
zomng, Dnd does not require specific land use
225 PIFTD STREET . approval. ELECTRICAL PERHIT APPLICATION
SPRINGPIELD, OREGON 97477 Zoning~DX( OfJ\l"\1'\.1)
" INSPECTION REQUEST: 726-~7.69 III I " Ci ty Job Number "1:\ 1\):'\
" OFPICE:726-3759 6. '''' 0~ I'd -;)0 - 9.3
. . Aut:,o,ized Signature ;;;:-~ 3. COHPLETE PEE SCHEDULE BELOV
l' ~ION\ O~:r,w;TALLA;Q,l>N . ,..\ --
"l 0 '-\~ ~ \.cP\ ~ 0> _ \\.,\t\ "\\l ':I.. \ ~C\ ~ A.
~GA.L, DE~PT:r..Oll.' D
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permit~~re 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
Electrical Contractor-1f;rJLI~ LJf~~'1
Address 353 S (.,$ (t.,
City st?
:
Phone' 7'1...( -, (.. ~
Supervisor License Number 3,.11.s
Expiration Date
104'1
Constr Contr. Number 8'9'{l3.
Expiration Date
< - S'""-r, '1
, :::"~ ~2;: .::::
. ,
Address \\ f\S \..'tld..\1\J..(' [ J
City ~\!yI'CL. Phone {6'\~-~d1L.
OVNER ~STALLATION
The installation is being made on
property I ovn vhich is not intended
for sale,' lease or rent.
I '
Owners Signature:
.'
DATE~-----~----rl~-l~~c:r-~----~~~-
RECEI'1>'l' I: . l:--A f\'^ . ~
RECEIVED BY: C" /JU _ -
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
It ems
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion .'1
thereof 01
Each Hanuf'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
Cost
Sum
$ 85.00
flD
.sO
,
I
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.-
-
Temporary .Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.' Branch Ci rcui ts
volts
$ 40.00
$ 55.00
$ 80.00
see "D"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/~~mm
One Circuit
Each Additional
Circuit or vith 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
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