HomeMy WebLinkAboutPermit Electrical 1993-12-27
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225 FIFTH STREET ~~~.';~~,.~nQ QC~O" no! ~q\r. opeo;;ic lond E'LE~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOI1:ngU '
INSPEctION REOUEST: 726-3~,69 \~ ~ 0 .q . 'City Job Number q 31 /J( cfi-
OFFICB: 726-3759 'dO , .
AuthOfl,od Slgnatur. U:t 3. COHPLETE FEE SCHEDULE BELOY
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l".r(t~DESCRIp:r~
Permits are n
if york is not
of issuance or
180 days.
!
-transferable and expire
started vi thin 180 days
if york is suspended for
2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor
BC ELECTRIC
Address PO BOX 371
City
Phone 935-5210
ELMIRA
Supervisor Licen~e Number ~?S
Expiration Date 'QL1L.9.~
Constr Contr. Number 66799 ,{.
"
Expiration Date
6/4/94
The, installation is being made on
property I o~n vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: ----A- I ./-J r;~<;{ ~
RECEIPT I: ..: '-11~~t5j/
RECEIVED BY. !x'..)( 1..J' '
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Modular D~elling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Reloca t ion:
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
Items
Cost
Sum
$ 85.00
$ 15.00
d
8:)
$ 40.00
$ 50.00
$ 60.00
$100.00
, $130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or 100U
D.
Branch Circui ts
Si~ature of Supervising Electrician
J/t~ ~'t- fJ aUJJJ
Ovners Name (Ifw-t (1n 0.1- rl yo-
^ \~\~/ ~. Ii Nev, Alteration or Extension Per Panel
Address"-\1~ 1\ \. h 1 )
c::::.~j - (LY1 -nn( f) .One Circuit $ 35.00
City. ULR, Phon ~~ 1 ( OL---""Each Additional
\ \ \ . Circuit or ~ith Servi~e
OVNER ~ALLATION , or Feeder Permit I
E.
5.
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
$
/),cO
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
rn0?
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