HomeMy WebLinkAboutPermit Electrical 1993-8-25
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Ci ty Job Number 93 /O.'S'.3
225 FIFTH STREET
SPRINGFIELD, OREGON 97477Zoni"g_U)~
INSPECTION REQUEST: Dr7.~~-3769 'if '?:?
OFFICE: 726-3759 AUlh "~-=-- - -'i~
1. LOCATION OF INSTAL::;;;i;~ntlura_~3. COMPLETE FEE SCHEDULE BELOII
?a. '6"'7 ~67l.J /)r A. Nev Residential-Single or
\ dO "0" I (\DI\I\lV\ Mul ti-Family per dvelling uni t.
LEGAL DESCRIPTION _ () ~ cIo. \ d.. ~lMJService Included:
krit:-/~'j{ /IlC.~Z-Ie- };Itu',,- Items Cost
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Sum
$ 85.00 0--'). s.:--
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
JOB DESCRIPTIOft, .
CJ/A/t;/!' ,P/b?'J//<-1 1lt?5.1I~C
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
$ 15.00 ">0_ <~
'?
~
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
) Installation, Alterations
Electrical ContractorlJ!'W EJ"/!t /',LL"",-.or Relocation:
Address 2'7'::- SU 4"JJ~7 J."'~n ::Un 200 amps or less
j) 201 amps to 400 amps
City! hVII"> ///'<... Phone?<;'I./-t../?/ 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number "3 c,t::IL/- S Over 1000 amps/volts
Reconnect Only
Expiration Date ,(; - I 95..
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,.
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number &, /'} i!:'?-..
(,,- / '1 - / 'I
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date
Si~tUJ)f Supervising Electrician
tU?/. , Zd/f t'Z.~ A
Ovners Name tJ.tB;/l;Jt,) 111 /C(,//r.-;1ltA-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
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Phone "')'")'3- &Yi'r-
7tP'7
Address
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$ 35.00.
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
Ci ty fit,-l5nv '"
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OIINER INSTALLATION
$ 2.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
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 ) ) S
5% State Surcharge S". ? Y" .
TOTAL '
Owners Signature:
DATE~--------P>-~~ ,y.::j ----------
RECEIPT I: f'c /. \n('),~
RECEIVED BY: \ -/ )106-.-) .
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