HomeMy WebLinkAboutPermit Electrical 1993-4-2 (2)
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SPRINGFIELD
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225 FIFTH STREET . r\ ~rc';"'cl 0,': ":liJbt"1"'P:!':'~'::I'~d ,ISi::
SPRINGFIELD, OREGON:h9,~9;t~~,~(-, "\p"''- - ': ,', ,
INSPECTION REOUEST:zon7'26'::"'3769,
OFFICE: 726-3759 a?prvJ~!~ 'r; --'0"--
1. LOCATION OF INSTALLA;;~~Y' 3.
- - O~-~- .-
c:G~~"lH..e:~~-"~, r-~{-,,,t\\;e- 1t.. New Residential-Single or
,I" " / ~uthOnzeJ':'.;;. " Mul ti-Family per 'dwelling uni to
LEGAL DESCRIPTION Service Included:
~.~~-~~...-- ~
JOB DES~ION
'~~~ '4'tF CZ'-:c7"~
Permits are non-transferable and expire
if work is not started within 180 days
of issuaric~ or if work is suspehd~d for
180 days.
2. CONTRACTOR INSTALLATION ONLY
B.
"
Electrical Contractor~Q~ td..Qr:..?; /~
Address f/;;J- -.3 >-,,;2 ~c../cu-,,-~cr /7C<.-/
City \'P:?/Cr,...C;'p/'tS'L-.i) Phone~~-;r?~
Supervisor License Number /~I 5
Expiration Date /0 -'7:3
.1
ELECTRICAL PERMIT 'APPLICATION
Ci ty Job Number 9:503.5'7
COHPLETE FEE SCHEDULE BELOV
-
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof' ,
Each Manuf'd Home or
Modular Dwelling
Service or'Feeder
$ 85,00
$ 15.00
/
$ 40.00
&/ d7.'o (/
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20.1 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
" ,
Cons t r Con tr. Number ;:po-;; 7...;:z....
Expiration Date /~~? '3
.
Signj2e o~s ervising Electrician
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C/ - - - ,
Owners Name ~.;er 5~ c.... ~A>
,
200'amps or less
20.1 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D. Branch Circuits
~
V'
Address
Ci ty,
'Phone
,
OVNER INSTALLATION
The installa~io~ is ~eirtg made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:, ~-~ ~...~;::>
~RECEIPT I: '--? ?~9Z!...-
~ RECEIVED BY: /" /~-.,
~ ~"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.0.0
$ . 2.00 .
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limite~ Energy/CQmm
40.00
40.00
20.00
36.00
not included)
5,.' SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
$
$
$
$
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