HomeMy WebLinkAboutPermit Electrical 1993-5-4
S.-.IINGPIELU
225 ~~r.n STREET ,
SPRINGFIELD, OREGON 97477 approval. R n? rvI n. '-:J"
INSPECTION REQUEST: 726-3769 Zonino LIL City Job Number '-1, J\. JT L... )
OFFICE: 726-3759 D.te._~/J:.{~ fl..r.: . *-
3.'lf COMPLETE r.EILSCHEDULE BELOV
1. ,WC/l;l'~ ~Q.F . I TION,utho~d Slgnature_
~~' }l:)L1 ~ A. New Residential-Single or
Multi-Family per dwelling unit.
J ~G6jEm1 N ()~"f)\(Y) Service Included:
I
.
~~:f\:'::~~:~~d(\:::';:~
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLA1ION ONLY
Electric~l contr~orC!\'QA f J ~j1j;
Address A [~J)r;~f\l J.J\t.. qq!'l().
City 5 Y'J,OJIO __ PhoneA.Dff+
Supervisor Qicense Number c-:J'f1.15 S
/O./.q~
m/O/'"Y-J'I c.
Constr Contr. Number (, ( ~-L---
f () / /10 /q",=\
, I.
S~Al~su~~:~e~ian
Ow~ers Name ([YArn PR~( JJ~'lt.'
Addres '(), OPf\1 0\0 01:)\\ ,mt\us Ss
Phone q{ ;1-9103
Expiration Date
Expiration Date
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
, "
. :<,: \~ j.~~: ..,
Ovners Signature:
.i~ '~~\
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RECEIVED ny:\.~mx 1 ')
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Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling rR CO
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Servi~e
or Feeder Permit ,~
$ 35.00
$ 2.00 iL
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
A(().ciJ
4-,,-<'(1
C{ ( ).:::<.j,
~ =-
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL