HomeMy WebLinkAboutPermit Electrical 1993-9-28
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SPRINGFIELD
The following project es submlt1ed hae the f
zoning, and does not require specific land u
apPJoval.
225 r.Lru> STREET {V" ELECTRICAL PERMIT APPLICATILtffi
SPRlNGP'IELD, OREGON 97477 Zonina \...L.( (]~\ I
INSPECTION REQUEST: 726-37(tb~7 5i.~?J Ci ty Job Number - \........) , '--
OFFICE: 726-3759 ~".
. AuthOrized Signature~QMl'bETR FRR SCDEDULE BELOV
1; 47JCATI~~f;~srALLA~~.
IrfO~~N (Yl~2{)?)
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
JOB DESCRlPTIOjf
'See- Vl'<:.e L~c.Y\ C{ €.
~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
.2." CONTRAClOR INSTALLATION ONLY B. Services or Feeders
. Installation, Alterations
Electrical ContractorC\eu.) Ua...(lt::J~/cdrl'L or Relocation:
Address P.O. &< ;;Z j),d-<9 J C?7'71!);)., 200 amps or less
/' I .~ 201 amps to 400 amps I
City Z'-"'1~.......i/.. Phone '720/- 5(!./?J ,401 amps to 600 amps
601 amps to 1000 amps
3CO'J.,I../- 5 Over 1000 amps/volts
Reconnect Only
Supervisor License Number
Expiration Date /0 - '75
Constr Contr. Number' ?G 307
5- crt(
Expiration Date
Signature of $upervising Electrician
IA)A~ A. ~J&f:-
.. V)
. Ovners Name Soc.,xtt'd q '-d Loaf'-
AddresCb -4-\ \ ~U~ ~ \C1D er'i /
, Ci ty s:ca:. J (f'J Phone
O~\ItlU~~~ON
The installation is being made on
property I own which is not intended
for sale, lease or rent.
o
Ovners Signature:
..
DATE:
RECEIPT, I: 0
RECEIVED B
, -rt-ri-eJ:t'~
( - '-1 . LLJ' -.:;---
I I JOY'A t~~
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
D.' Branch Circuits
volts
S 40.00
$ 55.00
$ 80.00
see "D"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci rcui t
Each Additional
Circuit or with Service
or Fee~er Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
.'
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
f Ii} 00
7;-'~.0
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