HomeMy WebLinkAboutPermit Electrical 1993-8-25
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ihs, foll.'''''"n Noject as submitted has tho following *' () '7 ~
225 FIFTH STREET zon,n". . ,>oct fc4uiro s,,; ,,",,' ;..", uco ELECTRICAL PERKIT APPLICATION If.
SPRINGFIELD, OREGON 974',]"' I '
INSPECTION REQUEST: 726-37.69,? t;(l~ Ci ty Job Number 9'5 /0:; ~
OFFICE: 726-3759 5 I .
, r . , - Z-5::'1:? 11.1... ~ 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAI,LATION';(jn:ture 'fl'Vv- .
'7!)" 9.5" t5t40e/l...; - A-:-New. Residential-Single or
I GOf\ f'/\\rJ Nll\N\ Multi-Family per dwelling unit.
LEGAL DESCRIPTION C:>.o-lJOl.. ~ V~ W Service Included:
L-o-r #- 137 ;t7e.KeIV2-Id AJd-L-.5, Items Cost Sum
, .
JOB DESCRIffION 1000 sq. ft . or less $ 85.00 ?S. c---
S / /1/&.l-e 'm1 i t..v, 12es/ /)E>>cG" Each additional 500
, I sq. ft or portion
.:::s tJ I- .'
Permits are non-transferable and expire thereof $ 15.00 -
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 $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
) Installation, Alterations
Electrical ContractorlJ,: 0-.) E/"", ~l( TAlL or Relocation:
Address:2 7'\ .5 W AI/'-p>-~ 1 ""J-.~ -=z!:! (S 200 amps or less
/ 201 amps to 400 amps
Ci ty .r~f)lrl no / /; r Phone "}) 5'</- i, /7/ 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number ~ /~ tJ L/ -.5 Over 1000 amps/vol ts
I () _ I - C)..--. .. Reconnec t Only
Expiration Date / }
Cons t r Con tr. Number ;;, ~ -ft, "1-
l.,- 1';- 7L/
..
Expiration Date
s~;:eo Z;;'%:JJician
Owners Name &-t..G-A/AJ /11 ,c:o/~
Address
7''3
h/l.C-I'l.B'>:r j),r jt/,c,J
Phone C))I!J -WJ r-
Ci ty ~,9)Y11
1
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATi~--------- ;cr~~~ ------
RECEIPT I:. I rr '_ JOe)( j'C>-')
RECEIVED BY: c:7) \ L l ~./ -
$ 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
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.0Q
$ 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 I '"l, 0 ::;..--
5% State Surcharge ~. rD
TOTAL ' I ') ,~. )'0