HomeMy WebLinkAboutPermit Electrical 1993-7-15
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SPRINGFIELD
.1
zoning, and does. not require specific land u
approval,
225 FIFTH STREET Zoning-.L1LlL.,
SPRINGFIELD, OREGON 97477 n"t. 7 -ft:;-'f-3
INSPECTION REQUEST: 726-3769 '-
OFFICE: 726-3759 AUlnorized Signature/IJUf.-
. 3. COHP~TK l'~K SCHEDULE BELOV
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1. LOCATI,!lN OF INSTALLATION
-2.15n';/:'(1IIJt~~
LEGAL DESCRIPTION ' _-<7"\
lill?-; 7_' 10 Ifl.{ L{(..J-../
JOB DESCRIPTION .
v\.ll~ ~t\tg \ )}iOr\.l'rl1'~ )
Permits are non-transferable and eKpire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor CtS8~~trf..u,'.a~,
Address P.O. ~ IiH1-o
.
Ci tyMrrU rY\~~~ J. ) Phone ~1J 10
Supervisor Licen.se Number I b g IoS
EKpiration Date 10-1- q5
Constr Contr.. Number 01\S\q,q
Expiration Date q -I-q:l
E~CTRICAL PERMIT APPLICATION
Ci ty Job Number 'tf3{ DiG
,"". - *
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Cost j
Sum
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular 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
$ 05.00
S 15.00
$ 40.00
$ 50.00 50,00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
.
~Signat e of supervi~~ Ele~rician
, ,rl'7'Lu7~
L/'. - . ,
Ovners Name U L.fi 0 ~ \ +/.t I J J >
, - ~
Address -1\ ~ 0 i flll r\1\. j J Q,nc>J I ~
, .
CitY-4lMf'(\n~) Phone 1]lj,b- 5~3o
OVNER IN~TALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
Y) -I;:; -<'73
{J ~2-,J
'~
DATE:
RECEIPT I:
RECEIVED BY:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D., Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Nev, Alteration or EKtension Per Panel
'One Circuit
Each Additional
Circuit ,or vith Service
or Feeder Permit
S 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
_Each installation
Pump or irrigation S 40.00
Sign/Outline Lightinr $ 40.00
Limi ted Energy/Res S 20.00 '
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
50,00
1,.50
5;,1. 50