HomeMy WebLinkAboutPermit Electrical 1993-3-15
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ELECTRICAL PERMIT APPLICATION
225 .FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37lfil,le3-1~_C\? City Job Number C1 LJno'i(Lf
OFFICE: . 726-3759 -' 'it'
Aut...,:~.~ Slgnature'~ ""...ru,;-i'E FEE SCHEDULE BELOV
1. LOCATION O~ :WSTALLA~N .
;:;p"cq ~CffiJ ,^)I\AA}-.Q, A. New Residential-Single or
Hul ti-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
JOB DESCIrp"TION
7(),r. -"t'1/v'C,"3 P.
. 0
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contracto~ ~ II", fLT
Address 5/70 W," sf J / #e
City~ 1--,(_ Phone cj Sl/ Sv'37
Supervisor Licen,se Number ~n S
Expiration Date
Constr Contr. Number ~O ~'/ G
Expiration Date
. ~'"[p.lJSY;;:"i"~
Owners Name_lJl t ' /)-r/\J...Acj-..;~'
~L.I C} e;-q OwJ< \ A)C<A.<
City 0 II Q.L Phone /:lk,~975?
Address
OVNER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------~l;~lq~---------------
RECEIPT 11: j Iq::::L'X
RECEIVED BY: ~
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 volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit -1J:l $ 2.00 ~().cxJ
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE -"'70.00.'
5% State Surcharge ::<, .SO
TOTAL ' ,2... . Sf)