HomeMy WebLinkAboutPermit Electrical 1993-1-15
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Thoe following project Ot; submitted ha- the follc\':ing ttf
225 FIITH STREET ~~~ir~~afnd does not require specilic land uoe ELECTRICAL P'ERllIT APPLICATION
SPRINGFIELD, OREGON 97477 , ( ( q.2fV\e:/")
INSPECTION REQUEST: 726-3769n,"9-;;=- . Ci ty Job Number ~_
OFFICE: 726-3759 Oale_! - I.... -9.J>
S \ 3.
Authori:rAd Signature
1. LOCATION OF INSTALLATION
1011 ;..h...,...(e>c.....- Q,.l
COMPLETE FEE SCHEDULE BELOV
A,
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
J0l5:-\~~N n91~
Items
Cost
Sum
JOB DESCRIPTION
Low V",I.J.~" \.. <~...~ L ~~, fE~
1000 sq,ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
Permits are non-transferable and expire
if vork .is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
B. Services or Feeders,
Installation, Alterations or
Relocation:
'Electrical Contractor ~~
Address/S'"'c.:> ( 'P...._o--l
Expiration Date
ItJ-{-"7)
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
City ev",-~ Phone,
,
Supervisor License Number 'j(sz. ~Lb-
ConstrContr. Number 5"""'1'7 'f'-{
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date '-I-2..Cf- 'f'J
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
volts see "B"
Signature ;Of; ~ervising.Electrician,
~,;) ~,..~- ~
D.
Ovners Nanie {.~ PI4....~:~c Cer.s...-{L....,~
above
Branch Circui ts'
Nev, Alteration or Extension Per Panel
Address
<;,""........ .-
City Phone
One Ci.rcuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
OVNER 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
Limi ted Energy/Comm Xi $ 36,005''''''''''
5. SUBTOTAL OF ABOVE >b. 0:>0
5% S ta te Surcharge --l..<..~( ~
TOTAL .....2LD)U
Ovners Signature:
:~~~::-::D7-~r~~~~r~----~
RECEIVED ni{:, !}1L..V1 = )"'". j .