HomeMy WebLinkAboutPermit Electrical 1993-11-18
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SPRINaLD
225 FIFTH STREET Tho. followlno p,ole..:t es oubmfftod has the followlnrELECTRICAL PERMIT APPLICATION
ZOnlnQ, and does not reqUIre spec~. I d
SPRINGFIELD, OREGON 9]'4'1,7,1. ,,'e en use
INSPECTION REQUEST: 726-3769 ,........, rJ Ci ty Job Number q":5I7'Y~
OFFICE: 726:"'3759 ~~n1np v"hl_ JIK.. " "
. Date I, g I C)~ 1'-" 3. COMPLETE FEE SCHEDULE BELOII
1. LOC."TION OF ~~S~~ION ol d<:!>-..- q~
95 -HQ.., \rloml or ~flllftf\'r~) -~<, A.. --New Re~idential-Single or
o . Q J Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
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JOB DESCRIPTION
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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
Elec trical Contractori!..~_s.}l~ 0 l'trtl (l11~'
Address p.o. ~1' 14-~-;...
Ci ty.~ Phone '74/- "J.l,:3lo
Supervisor Licen.se Number I h 2 h S
Expiration Date 10 - / - q;)
Cons t r Con tr. Number 0 3 8 Lj-q
Expiration Date q -1-q4
Signature of Supervising Electrician
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Owners Name BArcu ~ l,
Address--=': ~O(rU..&lll~.) lJ~
Ci tY~~f\lIY\'l~O~ nl ,Phone '74t1- 2/1 X.
O\INER INS~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: //-/.A'--'9 ~
RECEIPT 11:' /.6<;:1"'3 Y
RECEIVED BY: ./Z~
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It ems
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or port ion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
S 15.00
$ 40.00
B. Services or Feeders
Ins talla t ion, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps S 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
. $ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
S 35.00" ~O
$. 2. 00. .1.00
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. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
..1 '1 f'1n
I" 25'
"!:Ill.. S:i5