HomeMy WebLinkAboutPermit Electrical 1993-4-2 (2)
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225 FIITH STREET ZC ,:,;,- LM..:t::
SPRINGFIELD, OREGON 971.)477 ;;;" - -- ---
INSPECTION !mQUEST: 72'?=3-7-69- 233
OFFICE: 726-3759 Alllhorized Signature JR..+I 3.
1. LOCATION OF INSTALLATION
~Dti-'M. ,I105 j.~6)uthl ~ A.
LEGAL DESCRIPTION ,qyC) 1) -~V) -~~
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JOB DESCRIPTION otU..> ..
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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 ri cal Con t rac tor C, ~ S pC IIrlilli \ (li1\Jl,.
I T
Address P, O. ~_ ~
Ci ty ~ru" IY\~~ Phone '7 Lf I - "^ ~ 3lo
Supervisor Llcen.se Number Il.o g b S
Expiration Date 1 () - 1- q 5
Constr Contr. Number 03 ztfq
Expiration Date q - l-q.1
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Si~,re of Supervising Electrician
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Owners Name ~oJ \ 0 ml11)1\11 rY\IM\tu''r'YU\ ) CY'f'
Address i545 C hu{l~Q.ffi.l' t; ~T, .
Ci ty p~ ) Phone to g 1-- 10 51
mINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~~-rlD~"2:13---7--:;-J~----
RECEIPT #: -L ,. t) .J
RECEIVED BY:\ /) LL)(, 1_ J
ELECTRICAL PERMIT APPLICATION
City Job Number c~oq ~ \
COMPLETE FEE SCHEDULE BELOV
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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
/
'50 cy-
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocatior
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 3
$ 35.00
, c"
1- y
$ 2 . 00 {tI
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 ./ (P
5% State Surcharge ~. ~Q
TOTAL 5'~. ~O