HomeMy WebLinkAboutPermit Electrical 1993-8-31
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The 16110wln ,. - -
Zoning, and ~ p oJect as oubmitt.
225 FIFTH STREET approval cas nol require" cfh"" the fo,ELECTRICAL PERMIT APPLICATION /
SPRINGFIELD, OREGON 97471' - ",-- '.-'lie tond us~uml/1I q ff\ 4n
INSPECTION REQUEST: 726-3769,on;n9 I frI/ -' City ,Job Number 3~)' I
OFFICE: 726-3759 D -0 '? - 3(qw'=::"" _ I
. ---.:.....2 3. COMPLETE FEE SCHEDULE BELOII
l'" ,
1. A-q~'l' OF ~l?>TION'dSI9natur' uL.l...---/ ;
'-\--~ ~ II ~'Il )\ ~ (~ e~~ew Residential-Single or
. -. - . Miitrb-Fam.ily per dwelling uni t.
I...l&G~9B?CNWQth~ C,r>/\ Service Included:
Y)U cX..U 0, I'c-J-...- () f.1 J.. ) Items Cost
. .'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
~ESCRIPTIpN
~r\XO[)/
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 Contractor J-IALlCk: / UIHA p"ud?.
. I
Address 353 -:;, t'Yrw Pt.,
City .'5PFUJ. tQ~, Phone 7t1l1-/lbS
c;l47~
Supervisor License Number 357'7 5'
Expiration Date 3-95
Cons t r Con tr. Number f? 9 Lj:fi3
Expiration Date -::?,9t/
..
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Signature of supe:~sing Elec.trician
E;I ~~/n -
Owners Name - Cf ,')s-fvn () ~
Address \) . . ~r\"{fH~~~l(J
City ,-~'.d Phone loKq~SS0'7
O~ ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE~-------------?=r~~-~--"--"
RECEIPT I: ~ j . . \ fu \Iv.
RECEIVED BY: ( J) \1 \to......; \
-L
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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
Sum
f3S
.3i)
$ 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 liB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Add it i onal
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35,00
$ 2,00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36,00.
J1590'
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