HomeMy WebLinkAboutPermit Electrical 1993-7-9
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SPRINGFIELD
The following project a. submitted hae the loll
zc:-nlng, and does not require specific land u
appr;)'/dl.
225 FIFTH STREET ' Zonlno ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477, q 'J fV) "t
INSPECTION REQUEST: 726-371&9<'_'] -Cf -tj 7) Ci ty Job Number . uLFI~ ( J
OFFICE: 726-3759 .., ~
1. ~07C~^ON~ INSTALLATIO:utno:~~,gnelure- -3. :SIIPhIlTI::':H: ::CHEDULE BELOV ~
QI ,I:')() (}H/)/l.J ~,,~ A. Nev Residential-Single or
~ - Multi-Family per dwelling uni t.
, LEGAL DESCRIPTION A A;-"';-'" Service Included:
-1!lO~fJ!)J() n~\I..J-} Items Cost Sum
. JOB DESCRIPTI2ti. _ _. . Iv, ..; jr-/r/ A
tUY\/'v f1.1L{ LvtIfrUL~ ~I
Permits are ~transferable and eKpire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Elec t ri cal' Con t rac~~\ 0 ^'" ~
Address Rs~ u.l~'\'lI ~ '\0 f\ t L 0
Ci ty Y.1)cJ.I'\O /' Phone~
Supervisor Qicen.se Number Q4!!JS
IO,!.C[5
Constr Contr. Number Lo3IB'7
If)., /)..") ,q~
EKpiration Date
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C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
~v~
Ovners Nam:-!;{(JCr Mri./ ,
Addresd /;SO )-:{{1t'.LtA.tl.--# dL".
Ci ty .:5{lb/../l1., _ . _Phone
~TALLATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 85.00
$ 15.00
~
$ 40.00
Pr)
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
'$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
. One Circuit' $ 35.00
/ Each Additional'
Circuit or vith Service/ ~
or Feeder Permit ---L- $ 2.00 ~
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature: ,
I
I.
DATE:
RECEtFTI:
RECEIVED BY:
?~7'-9 ~
7' Y?.6
~'::!I'" .
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Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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