HomeMy WebLinkAboutPermit Electrical 1993-12-20
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SPtllNGFIELD
The, fc:llowlng, prole<;! as submlttoo has the fo"o~
. 7.ontn~, onc OQee n0t mquire spocific land use
225 FIFTH STREET ' appro,"L ELECTRICAL PERHIT APPLICATION
SPL....<4ELD, OREGON 97477 z., ; I T)~ q/)\ ~'nA
INSPECTION REQUEST: 726-37~ip--J.-~ , q' J Ci ty Job Number I) \.) ()
i' OFFICE: 726-3759 DSIO_~~:? I :::-.-~ - ...J
. . A;Jlho.d!l\d.$ t <- 3. COHPLETE FEE SCnEDULE BELOV
1: JPCATION~ INSTALLATION .gne ure <--' .... ~
,.....:'JISlJ jj)JI'L;#A 1.<::::; ~ A. Nev Residential-Single or
" " --- Hulti-Family per dvelling unit.
LEGAL DES~PTlON' Service Included:
I () ()?, A '\ r 1"\ 04400 It ems Cos t Sum '
"I\JOB DESCRIPT~N f/'J~ n...
\ ,\ \I f-\ ~ ^/LVU' )
Permits are non-t sferable and eKpire
if work is not started within 180 days
of issuance or if york is suspended for
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180 days. '
2." CONTRACTOR INSTALLATION ,ONLY
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Electrical Contractor \-tF-Krr-~.f,~_E:U:c:r:
. /.0<fZ ~ ",- --
Address 655 ','lr~~J:r'~LL ,WE-
Ci ty _\='.1'\ (,i?.--I\.I F: Phone lZJj-l'500
Supervisor Licen,se Number Cjl\~l<; tW-lf:.4rJ
Expiration Date
lo..\ JI""i
Constr Contr. Number (O3\~1
Expi'ration Date 12--2,-Cj.3
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Signature of Supervising Electrician
~W~
.. Ovners N~me~~.D DO ~ C 1 h.p~ Q..t!t:7
Address LoG. f) I A hID 0 t-
o City~f'~, Phone 'l4l}.-M<s/
. OVNBR ~STALLATION
The, installation is being made on
property I oYn .vhich is not intended
for sale, lease or rent.
Owners Signature:
.'
DATE:
RECEIPT ,: '
RECEIVED BY:
----~,,~~~~~----------
, / A t:. bt.:?
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd !Iome or
Hodular Dvelling A
Service or Feeder ex
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
$ 05.00
$ 15.00
$ 1,0.00 8()
$ 50.00
S 60.00
S100.00
$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
D.' Branch Ci rcui ts
volts
$ 1.0.00
$ 55.00
$ 80.00
see liD"
above
Nev, Alteration or EKtension rer Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit ,
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
I
2.00 4
not included)
$
$ 40.00
$ 40.00
$ 20.00
$ 36.00
400
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