HomeMy WebLinkAboutPermit Electrical 1993-11-16
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. SPRINGFIELD
"il;',loll<:'",:lng projo-:1 '0 "cbmH!ed II"" tho kl!owfng
lonmg, ~I n:-: dceti rIot rr.qu!ro specific lend UQa
approval,
225 FIFTH STREET ~ " , ........0 ELECTRICAL PE!UlIT APPLICATI~
SPRINGFIELD, OREGON 97477 ,.onlng,_~,_ q Q \ (\ \1
INSPECTION REQUEST: 726,;,3769_~'lJJ.,j.03"" ......,,-.q?City Job Number ~\ \ \
OFFICE: 726-3759 " I do.. - CT'-/ J
A"lh'Jrilod Slgnalur~.,.~.._<;OM.t!&!~...FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIQlI
7..1 C;O L- JtV!'.AT 3 (. a c>. A. Nev Residential-Single or
" ' Multi-Family per dvelling uni t.
Service Included:
\ ~~A'iTF--fION rAAa)
,.,JOB DESCR};PTION
IH-2r'f F u ^-1 !IJ
Permits are non-transferable and eKpire
if york is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
,~ -
Electrical Contractor &/ rt:; tlt;;L--I. '
Items
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
Address ',0 _ boX ) (J 3""'1 200 amps or less
c,\,' . C ' 201 amps to 400 amps
City r:;t/t.", . Phone '72./1 0, I-Lfo ,-'40J.,..amps to 600 amps
,> 'fl::>> l:JbC!3 Jt1/:;$SIt'fe$!{ amps to 1000 amps
Supervisor License Number ~ ~ S 3 c:. Over 1000 amps/vol ts
Reconnect Only
EKpiration Date
/0 - qLf
Constr Contr. Number Sq 7 Lf6
EKpiration Date
<;-j'f
Signatur~~s~~t7E;~iCian
. Ovners Name jUtJY-ILj A :JOLGVJ
Address '01 c,O L-/lW tt-t't- ') P-z..d7
Ci ty C, Y' PO . Phone 1Z-b (j Sb /
,
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DA~E~~-----------\\~~~ct:).-~---------
RECEIPT I: 'i ,L llMU\
RECEIVED BY: '.::\~~L; ,
$ 50.00
S 60.00
$100.00
$130.00
$300.00
S 40.00
C. Temporary Services or.Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
. $ 40.00
$ 55.00
$ 80.00
volts see "B"
above
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
Ney, Alteration or EKtension Per Panel
.-
One Circuit
Each Addi t ional
Circuit or yith Service
or Feeder Permi t
S 35.00 3>~
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 3 S_ -
5% State Surcharge 'J 'J_ ~
TOTAL '~r.-.~t:> -