HomeMy WebLinkAboutPermit Electrical 1993-2-16
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_ 225 FIFTH STREET ::::::-----. ',. . ". - -.'" -, .(' _".([-; ~U:CJRICAL PERMIT APPLICATION
> SPRINGFIELD, OREGON 97477 al.'~"I~"(:- - e 0 f Ch
\ INSPECTION REQUEST: 726-3769' ~ ^W City Job Number /3015.3
OFFICE: 726-3759 I.Ci1lfiL_ - U.. .. _r__L__
DOlts _~L~-=:..9~ . COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF ~NSTALLA~ION A <hI n:?Cd Slgne:ti.lie' <Z (" _. .~. .
NvJ Co,....rt.,.. '2/ S'r <>L- 'IV'. '" . '" ~~_ ~/-NeY1 RE!"S"lOen d:-a:-r--SIngle or
db2-~ VV\-cUr\ Multi-Family per dwelling uni t.
Service Included:
~A DESCRIPTION
I
JOB DESCRIPTION
N~ u.J .y r oJl'{ e.. -('D r '/1' '^ -f-r: ,"'c:-
S're; ~ I
,
Permits are ~~~-transferable and expire
if work is not started wIthin 180 days
of issuance or if work is suspended for
180 days.
FIELD
Items
S~
-------
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portIon
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
-'''''
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor L-lfN,'c... !iE'L€cr(2fC.~ or Relocation:
-,
Address 3bbZb ceDI4re... rfrt.-L..<;
Ci ty t1L..E"llSJ4NT tt-l<.L Phone 72f>r06se7
Supervisor Li cen,se Number 3 L.\ C(2_S
Expiration Date
10-1- qs
,r
,.
Constr Contr. Number fr'L(b7"'t
Expiration Date
7--14-~5
.
Signature of Supervising Electrician
,,/~ ~ ~d
~
Owners Name c-rr'Y of SPi2.-,IVGF'I€c..{\
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,..-, ///~7
_____________~;.:=--.~L1.1-.-L~---
DATE' . += I~ "",,--,;,.~
. ~ r I II'" '~.,,'
RECEIPT i: '~74~~
RECEIVED BY: A'V~'
""-
200 amps or less $ 50.00 5i oc.-
201 amps to 400 amps $ 60.00 I
401 amps to 600 amps $100'0~
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.0 J
C. Temporary Services or Feeders J1(~
Installation, Alteration or Reloca(ion
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps OF 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
_ OU
~O-
2~
!\"2- 5.!:L-
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
C/17 ()wAJl5=!) -A./o
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