HomeMy WebLinkAboutPermit Electrical 1993-7-26
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1 he following proJe :J.ti :;'UUI""'''''~..' ~~ .,.-
zoning, and does not require specifIc land use
approval.
225 FIFTH STREET Zoning LW,'F- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 r. q " n~-r::..C:-1\ I
INSPECTION REQUEST: 726-3769. -"7_Z..xr ? City Job Number '-"k---X YJ::::l,.
O!l!lICE: 7~6-375~9' ~'~ri' d Signature ~-_.
, ~ . O' --1'1. (;UllrLETE FEE SCHEDULE BELOV
1. L CATION OF ST TI '.
:5..J;J ;u,,-J1,.. "" ') c::.:) 5?n It-1c.~~cNew Residen t ial-Single or
10" u ~ ~ulti-Family per dwelling unit.
~' DE~IQN ~^ I Service Included:
~ lu~ J1i ) Items Cost
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SJOf> jE~~~~ }-1 Jluij~~-
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
Electrical Contractor;IJ,(o. ElectY'l('
Address ';:) I S I Den ~+-,
CitY~r)~~d Phone ,4/0 IUoS ('2.
Supervisor Licen~e Number ~~
Expiration Date 10 - I - a..( ..
Constr Contr. Number 'Q()-' 'ill c..
Expiration Date
1..1-::2'-1 ~ q LI
Signature of Supervising Electrician
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Owners Na~0 jJ710 ~~ D.
O~~ I([\) ti(). /W)--(IL1-,..
(~t~ho~e '141t~(I@-()
INSTALLAlJON
Cit
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------r--tt-." J) h t:K ~
RECEIPT I: ( ';~, f' G!I rn
RECEIVED BY:~lU\..I Hi!\~!
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
B. Services or Feeders
Installation, Alterations
or Relocadon:
200 amps or less -L $ 50.00 W
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
'Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
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
Circui t or wi th Service 'f\ /I
or Feeder Permit ~ $ 2.00 ~ Ir
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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