HomeMy WebLinkAboutPermit Electrical 1993-12-21
.
.:
SPRINGFIELD
t'.,..,:C\iOWiI1Q
\ttsd nc~ h-: I.,.
~ \Od a$ C\.1~~':~.., "d\\c \S1'\CI u...21
'ne fnn'.... qUI" SI"l:
225 FIFTH STREET W,0.\?:O~~",'~\oes not Ie ." ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 974}.z,~::,,\. ,'i"'.Q ~ . n :<, J
INSPECTION REQUEST: 726~3769 'n9~ 'I) City Job Number -), j 7g ~
OFFICE: . 726-3759 -,-on, ''d--O
. ~"'e I')~t~. COM E SCHEDULE BELOV
1. LOCATION 9'f/ IIfSTlILlJITIOW".~. gna\Ula
LI3Cl7f/nlll/ ,j1,(f.I?\p"zac.'" A. New Residential-Single or
I Multi-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
I~0:1(')S:::21 o <:::.C,DrJ Items Cost Sum
JOB A DESCRIPTION
} fA/lrA,,;I-J
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
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
"
.. Owners Name Mu 1 ~ (Ii !UU , I ~J1we;h10
. I
Address ,(j2'S1i Nco\ L! ~.I,
CitY~""~"'~~"'\rI Phone lLJL(- c<6\ (
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
01~L~~~~-
-------~------------~----------------~
DATE:_ I~J?..\"".
RECEIPT, 11: \\nSW
RECEIVED BY: ,C)P,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
Bwop
$
$
$
$
'3,S .QO
j '- <;
'?;,i, 7<:;::
~S.OO
.2..:"I/S
40.00
40.00
20.00
36.00