HomeMy WebLinkAboutPermit Electrical 1993-7-26
07/09/93
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The, following project as submitted has the following :' .
zonmg, and does not require specific land use '., .
225 ~u ~"I STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON 97477 ~ q , (b
INSPECl'IOH REOUEST: 726-37~ninp City Job Number ,'~ U;n I
OFFICE: 726-3759 Dote -? -U .ci~
1. LOCATION OP INST4~(jNd Signature (LI,,"""'--- 3.
F,i 4 h q::j)Yf2jI..fl1J a.. ()y;, A.
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JOB DESCRIPTION
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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. CONTBAClOR INSTALLATION ONLY B.
Electrical Contractor-AtnfvLI ~ch SCJ..l.I.M.:~
Address 74~ r7JaYD,o'.-. r
Ci ty F-cA LVI J Phone,Q(,l2,- "I-P, ill
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Supervisor License Number C:;"t }-]" L-t:
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Expiration Date
Constr Contr. Number
!()-/ - "7 "l
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In q 76<.:.
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Expiration Date
Signature of supe~stng Electrician
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Owners Name ChrnJd ~aJ.-hy 7Jm~'
Address,~,qs ~Sy:i::f1.i a.. {)-r,
ei ty ~~, Phone 1 if-& 'f (itf 11
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
owners Signature:
DATE:, 1.!l~.q~~/~---~
RECEIPT f: .. '-7j/J:-Y;'.+-'
RECEIVED BY: b WtA.... ./
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
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
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
Items
Cost
Sum
$ 95.00
$ 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 100u volts
Branch 'Circuits
$ 40.00
$ 55,00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional'
Circuit or with Service
or Feeder Permit
E.
5,.
SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL '
Miscellaneous (Service/feeder
-Each installation
Pump or,irrigation
,Sign/Outline Lighting
~Limited Energy/Res
Limited Energy/Comm
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/In CD
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