HomeMy WebLinkAboutPermit Electrical 1993-4-2
225 FIFTH STREET l.:\..; ''?'''' .. '.
SPRINGFIELD, OREGON 97477', ~'<t.e> ' ,
INSPECTION REQUEST: 726:r37,~9" 'Z'5;.,:e. .. ;~.~ "~,~ ty Job Number
OFFICE: 726-3759 '<>'.s:;,,,...~.,J ~ ,1'/0"00.'>1.',0)
'/Jrt.J,;::" 3. COMPLETE PEE SCDEDULE BELOV
1. LOCATION OF I~~TkLLATION ~ '
~ 9,03 ..(:J..llCU'.A.V'V ~. New Residential-Single or
~ulti-Family per dvelling unit.
Ser,vice Included: '
" .,
LEGAL DESCRIPTION
I SI 0::> Od 'd':.l
04St10
JOB DESCRIPTION
jL-..f- (j}.r>
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 /St/Is 'Pk?t"'.-J-riC
Address 3/?() to /I-U-O
City %ud ~ Phone31./3/.35--3.
, /
Supervisor License Number ~tp~~
Expiration Date /0 -/- 95
Constr Contr. Number ,;)./35/
Expiration Date 4 -1- 9'3
~~~rvi ing Electrician
'\1) '--
Ovners Nanie ~ ~
Address~ID 1/-', r..e...-,....::tJ/YVYV1~.f.
City ~,;,,,,t:. r. 4Phone iL.fJ ,9.7()<.{-
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OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A~;~--------31~~r~~-------------------
RECEIPT II: IJ~q
RECEIVED BY: L")A
CI ~(') I c:;?s,
, Items
Cost
Sum
,1000 sq. f to or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
C. ~mnorarv Service~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
see "B" above
volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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