HomeMy WebLinkAboutPermit Electrical 1993-2-10
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225 FIITH STREET zOl\inr" ana dees .1C,'"~' . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747"pprovol. (? r __
INSPEC:ION REQUEST: 726_3769Zoninn J:\ -j3-
OFFICE. 726-3759 D"'"_ '\ _\_V_
~ 'r3 cnMDlKTH-FEE SCHEDULE BELOV
1. ~Q!:ATION R.F I~STALLAmN'rlZed Signature') .
'() 0 <:"0 h ;ilQ \oJ ~ '1 ..... '\ ~ZJA. New Residential-Single or
,:J 110"-" <A V\ Multi-Family per dwelling unit.
r- ~GAL DESCRIPTION' OO:-::ZO Service Included:
h ;ill? W;l ~ ~ )('.I\o>-.....J Items
JOB QESCRIPTION 1000 sq.ft. or less
-r "'~., \ I C'eG pi- .po ~ ex '01"'. S S Q (;\;1, Each addi tional 500
\ sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
'180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorCCE" hlit":, \i..~ EI,ij
Address 2:3<" eJ. 5-tL- 1\,1-1.../
Ci ty G: \Ie. " "" Phone LJ 80 -1'105
'.l
Supervisor License Number \ 388--5
Expiration Date \ 0 - \ - 9...:s
Constr Contr. Number \ 08 IS
Expiration Date ~ -C.1- <=t c..
Signature of Supervising Electrician
1<~\.Ji~~
Owners Na~e"J ';;\ V::1 \-i v1" ( S h ";l' n- Q<? )
Address f>o_ f.l 0)( (,,803
City t::'VGl7"'''' ~'?4(J IPhone
J
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED BY:
25f~.?
r ~ ~.-.-~. -
'P'
City Job Number
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
'9"3'c:YS/9
Cost
Sum
$ 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 Additional
Circuit or with Service
or Feeder Permit
'"7 0'
$ 35.00 ,).S~
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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