HomeMy WebLinkAboutPermit Electrical 1993-4-2
225 PIFTH STREET Z~',.. - J ^ Il.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 ,-__{.;!J__ - - Cl\ rv1 ~
INSPECTION imOUESTi~"'s-7-26=3269_4~2..q3 Ci ty Job Number .C1')LJ'-'\V......J
OFFICE: 726-3759 Authorized Sl8nc.tUlO JR:!-'-
~ - R~~3-;==t;OHPtETE PEE SCHEDULE BELOV
1. LOCATION OF... I.NSTALLATION ~
~lIIO~\.) A. New Residential-Single or
~ ~ t Multi-Family per dwelling unit.
LEGAL DESCRIPTION /CJ,D t..A) 1'"\ - Service Included:
l/O?, d.! 0(\ ()00tf3 Items Cost Sum
JOB DESCRIPTION 01\.L' ..
~ ~~ ) 11 \ 'r'&-J
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Elec t rical Con trac tor c.. ~ & ~O o.clilt.f\ \ {LM....
. i
Address P. O. ~\-/. J4~~
I
City~;\..i'Y\~J~ 1. Phone 141..: ~1-3 Co
Supervisor Llcen.se Number liD 80S
Expiration Date
JD-[-q5
O.i g ~q
q-l-q:1
"
Constr Contr. Number
Expiration Date
sa;;U~7~dan .
""--"""" . G. D.
Owners Name ~n ~ ,..f..mnrmq rt'dfi(\"UI,,"Yl,u JW'f'
Address_.1..545 0 hU{1~(\f1.lJ-' ~ ~T, .
Ci ty P.llf(f J'3LJ Phone 0 g 7 - IDS 1
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--- ,M -5 ~-lIr?--:q.....5 ---- .
RECEli'i i: / / !j g i~
RECEIVED BY: ~...f JtD..J -
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
Services or Feeders
Installation, Alterations
or Relocation:
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
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
so
C. Temporary Services or Feeders
Installation, Alteration or Relocatio~
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" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00
$ 2.00
h
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5 & q!::.--
1...&0
!t,9.,90
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL