HomeMy WebLinkAboutPermit Electrical 1993-6-28
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SPRINGFIELD
The. following project as submitted hes thelollowfng
zoning, and does not require specific land use
approval. "
225 FIFTH STREET ' to_
SPRINGFIELD, OREGON 97477 Zoning IDv
INSPECTION ~QUEST: 7~.!i;-376? -z:6 A??
OFFICE: 726-3759 AI.. /
Authorized Signature Il)IJ'-"'" ~
1. LOCATION OF INSTALLATION
1'/ .
\1\1 i-ttCp.
LEGAL DESCRIPTION
i '7 O~Utj'-l . 0 ?...'2-0D
ELECTRICAL PERMIT APPLICATION
City Job Number
Q-:2.,()9'Lf
r'f1IlPI.F.TR FEE SCHEDULE BELOII
New Residential-Single or
Mul ti-Family per. .dwelling unit.
Service Included:
JOB DESCR,IPTION 1 . 1000 sq. f to or less
1,..,f\flilV\ Y1 \nlr\..! ~(l4 J(l~ljl. IUUV J/')fII\. ~ Each addi tional. 500
~ T' flnn,.! a..i..AL ~ sq. ft or portlon
Permits are non-transferable and explre . thereof .
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor.c....1.<;' Pbftl\t'uI\',\'1~,
Address P.O. ~rr:I. ltJ.gi->
City~\. Phone'14/-i1:3h
Supervisor Licen.se Number I to g to S
10 - I - q 5
Cons t r Con tr. Number 0 :1 'i? 4fq
q-I-ct:l
Expiration Date
..
Expiration Date
Signature of Supervising Electrician
rf/~t/~ .
Owners Name Petti Q, ..J~~r>
Addressf(). ~r1' 9.11./..'1 ,
City Cl)"hw\..l\) Phone '1~0-Ii,qt/-
O\INER INSTilLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------&;r-;;Ql-';;;;--------------
RECEIPT 11: OJ;) UU
RECEIVED BY: I~o..
v--
Services or Feed~rs
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~o
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
D. Branch Circuits
"$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
$ 35.00
$ . 2.00. 4..00
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 54-.00
5% State .Surcharge -{J., .1n
TOTAL ' .'11-.. '70
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit 2