HomeMy WebLinkAboutPermit Electrical 1993-8-25
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The fol/owing p~ect ~ \"" . '"
zoning, and doe ' ~..as s\u~ljI)J'!'j.">"'" h",:'l: th"'l f~I' I
225 FIFTH STREET ap~rovaL").p df ro(/., . .~OYEBkCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . I f\o~ '
INSPECTION REQUEST: 726-37tr<j1mg- '1Ir City Job Number 93/0 '!:)()...
OFFICE: 726-3759 Da1') ? ,z.'J-t1~ j ____ .'
.Auth . v'\",.,] COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTAu.AT'io~)S;analure-1'l vv- .
7dl 7? 6i-Irl C/li'/1..- ///2-- A. N"w Res;i,t.ential-Single or
\t)~ TV\\" Multi-Family per dwelling unit.
LEGAL DESCRIPTION 'L)~~ ~ Service Included:
Le7 ,H~'1 4lc.KlMI~e" JJ;LL. ') O~9CO
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
, J Installation, Alterations
Electrical ContractorD' L-t) EI.~l'. lie he.. or Relocation:
Address'2"J \" <::; 1_) AI/'''')'' '- 1;:::.~.zY E 200 amps or less
() / 201 amps to ,,00 amps
CitY(j) I- Ir.:- / (J < Phone ? \" LJ - ~ I J / 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number 'S C. () 4- S Over 1000 amps/volts
./ Reconnect Only
! () - I - 9) ..
Constr Contr. Number (n 7'-'/1/l 2
Expiration Date (n - '1- 9 'I
Si~tu/1f supe;,P1ing Ele~ician
r16'/A/~/~ lih~ Y
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JOB DESCRIPTION ,
S"-Alf/t' /'4m;"~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
..
Expiration Date
Owners Name Gll?/VN h1 ICo/'?9-/?.*
Address 7fo'i ';::;A.-&tb-Sr .&11- ;ll.uJ
Ci ty fJu';/J"IVl1 Phone 9:> c; -(,/;; (}-
I
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----~--~ ,~~cr.-.~--------------
RECEIPT I: ..-L J' . 'IUJ~
RECEIVED BY: \.. XI./ rf) ....J
Items
1000 sq. f t. or less /
Each additional 500
sq. ft or portion ~
thereof ../
Each Manuf'd.Home or
Modular Dwelling
Service or Feeder
()-y
1--
Cost
Sum
~
$ 85.0Q [15' c
Lj f. ,.;::..--
$ 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 o~ 1000
volts
D. Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see ItB"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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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