HomeMy WebLinkAboutPermit Electrical 1992-12-28
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. . b 'll d ha" the ;oiI01l;[19 4-.1",
,he 'fol!owing,pr::F:lct nG sU'r:~ :ci~ic l:md use . \;"'....
225 FIFTH STlUmT zoning, and 0000 not requl P ELECTRICAL PERH:tT APPLICATION
SPRINGFIELD, OREGON 97/,77'oval. IT'O 11 (\ \ l On
INSPECTION REQUEST: 726-3769>ning .. U \' __ Ci ty Job Number 0'\ . rl. 0 [) I
OFFICE: 726-3759 Date \?- - rl <6 -Cfd,
, (, 3.
1.' LOCATION OF INSTALJ4'l'1~ed SIgnature ::.-
l/1/ Jr k0-'~M ~ Y:'7 4.k4 A.
LEGA!t.. p-E~,RIJ'TION
V}{):-'),~ \ \ CO 1(Y)
Expiration Date /.:J-/'y1'-7'3 200 amps
. 201 amps
~ignature of Supervising Electrician Over 401
<'~~-/..-'~~~~600
-;;- -;r ~ , D. Branch Ci rcui ts
O\lners Name-1.."7c..< t. Q/liJ. :t' ~S
Address //~'i /~..si
. /
Cl ty <J5-fJ a ~ Phone 79"~-~;:)...
Ii
JOB DESCRIPTION
Permits are non-transferable and expire
if \lork is not started \lithin 130 days
of issuance or if 1I0rk is suspended for
130 days.
2. CO~CTOR INSTALlATION ONLY
l,lectrical Contractor-lt-f;:; ~Ch-I'"C...
Address ~ /'90 tU!!",u./~ U.
City~.......... ~. Phone 7"?r-:;l-77!
/
Supervisor License Number <.57 J S
Expiration Date /,..,-(-7'S'
Constr Contr. Number &...::;.~ J 9
OVNER INSTALLATION
The installation is being made on
property I Olin IIhich is not intended
for sale, lease or rent.
Ollne~s Sianatu~e:
---------------------------------------
DATE:' 1J.../!l/ q '"L..
RECEIPT 0: do""()o~
HECEIVEIl ny: .~.-"~
'''''~
':.;.'..IIf...~t=lI~l.U
COHPLETE ~EE SCUEDULE BELOV
Nell Residential-Single or
Hulti-Family per dllelling
Service Included:
uni to
Items
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanu f' d 1I0me or
Modular Dllellirig
Service or I'eede~ '.
$ 35.00
$ 15.00
$ 1,0.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less (<- $' 50.00 SOre..
201 amps to 400 amps $ 60.00
401 amps to 600 am~s $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders \
Ins~allation, Alteration or Relocation
or less
to 1,00 amps
to 600 amps
amps or 1000
$ 40.00
$ 55.00
$ 80.00
see "nil
above
volts
Nell, Alteration or Extension Per Panel
One Ci.rcuit
Each Additional
Circuit or lIith Service
or Feeder Permi t "3
$ 35.00
$
2.00
<tJ ,CiC)
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation' $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm' $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAl.
'6 Co ,aU
2,8D
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