HomeMy WebLinkAboutPermit Electrical 1993-9-29
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e 0 :owlng prole as su mftted hae the foil
zoning, and does not require specific land u
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769'
OFFICE: 726-3759 Authorizod Signature ~/
- J. ':'Onl'wnr. FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
::21"'",.<:;"' /:Y? A-M)
Zoning
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LEGAL DESCRIPTION
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JOB DESCRIPTION
111 () rr /Z- W- C-/ftu2.~ - ....,<J
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2." CONTRACTOR INSTALLATION ONLY B.
Elec'trical Contractor~IlJ'-, hf!LWc-
Address "2- (() uJ &.LJ" .::J:/~f_
Ci ty ~() (,6?Uf!< Phone ~ '7r 7-/ 3 b~
Supervisor License Number 36q-1-~
Expiration Date 10 L I /'7.5
1 f C.
Constr Contr. Number 7'3 7 ~ 2-
Expiration Date t ~ [, ~ 9 f
Signa(~J;Z~:ician
ELECTRICAL PERtUT APPLICATION
Ci ty Job Number
q::<,/ ,::>if') 7 _
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
"!
D. Branch Circuits
f~lI77tJPK-
Nev, Alteration or Extension Per Panel
..-.-
Ovners Name TllLn ! '''<le..
Address ~!P ltflt ,JY.1:J
Ci ty .Et4 Phone ~~ '1-82..2. '2...
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-----------):T.---~-~-------------
DATE: . '1/271'" 5' 3
RECEIPT. I: . r /10 ~_ f; /
RECEIVED BY: 4?../':75..-1..
) '\......- - -
I
3'5@
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2.00
R. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 7f). (jtJ
5% State Surcharge j .7'/
TOTAL ?'In .-/1-7