HomeMy WebLinkAboutPermit Electrical 1993-7-28
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SPRINGFIELD
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T~' '"'1 -....'Ing project a. submitted has the 10 ow,ng
v' .", -,nd docs not require specIfic land U68
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225 I'.J.l u> STREET ' fiA,{)VZ/
SPRINGFIELD, OREGON 97471 Zoning_ .
INSPECTION REQUEST: 776-:;3769 1!12 -47) .
OFFICE: 726-3759. .-.-- /
hl.Wlvli..:.d Signature_~~3.
1. LOCATION OF INSTALLATION /'
ZGC,q S&. (' JoV'e-r/QCit- A.
LEGAL DESCRIPTION no ''3LZ-4~ ~co
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JOB DESCRIPTION
Permits are 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 S;TtJPfO/h<J/ CC.E(" ,
Address '187 r::/l-YE / /~
City Eu6, Phone GK<f -R72--0
Supervisor License
Number 2 q oo.s;::
G!o I C1~
..
Expiration Date
Constr Contr. Number L6 .iJi5'r
Expiration Date G;lo / C1L,L
&B.
Sivl61!!i;:~ Electrician
Owners NameZ~ IJ/~/~
Address4'8"OZ ~.P /",
CityG~ Phone 'J7'1cJZ
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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./t1A1..Ul/zM:...<...
DATE:
R!..,t.1PT I:
RECEIvED BY:
ELECTRICAL PERMIT ~PLICATION
City Job Number v;3Df~1
e6t,< ...."." nE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq. ft. or less If
Each additional 500
sq. ft or portion
thereof
Each Hanuf'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
Cost
Sum
$ 85.00 !JCfo.'-
$ 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 or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
New, Alteration or Extension Per Panel
One Ci rcui t
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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