HomeMy WebLinkAboutPermit Electrical 1993-11-1 (2)
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The followIng proJect ae. submnred :i3S i~1o.1! " 1-",
225 FIITH STREET zoning, Doa doe::! not req~e Sl."lct"'mc b. ~~9'flUCAL PERMIT APPLICATION :J
SPRINGFIELD, OREGON 97477 opprovcl ~ n ;~\l ~'\
INSPECTION REQUEST: 726-3769 7.C~~M ~ CIty Job Number ~\ ~ ~~
OFFICE: 726-3759 ~ ' -ry
~tl? _ I _. I 3 . COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION.Q'1 lt~~ , \"\x
0.( A-STEe.... ~T ~2S/ :S-V--7i:-JS1n;;) '-M~New-ReSldentlal-Slngle or
C I'\,.y CC;)~...n"'e Ac., /'- g'-i 7 Mul tl-Family per dwelling Un! t.
LEGAL DESCRIPTION SerVlce Included:
Items
JOB DESCRIPTION COO rt..:H\. ~.~OOO sq. ft. or less
Fvr-rtA. I?E ~-r/2.-61:?1 L-16J-f-T~~l j Each addl tlonal 500
"- ~ ~ sq. ft or portlon
Perm1ts are non-transferable and expire thereof
1f work is not started w1th1n 180 days Each Manuf'd Home or
of issuance or if work 1S suspended for Modular Dwelling
180 days. Service or Feeder
Cost
Sum
$ 85.00
$ 15 00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Serv1ces or Feeders
Installation, Alterat10ns
ElectrIcal Contractor L~ ~~~~elr or Relocat1on:
Address.. 3"l::,b7...b c...81O,q.e t+\LL,
CI ty "PI..E11SAtJr I-t I Ll Phone 72...f::, raC;s4
Supervisor License Number 3l.....) <:12.. ~
ExpHat10n Date 1"t'l1 Dl I q~
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number g-L\~7q
C. Temporary Serv1ces or Feeders
Installation, Alteration or RelocatIon
ExpiratIon Date
7-1,-/- Cf4
"
.
SIgnature of Supervising Electrician
I
,j,_~ ~ \ -r~ ..
~ D.
Owners Name L.. ,.Y nf:: ~ PlCrA\fJ:'f8LO
Address
CI ty Phone
OVNER INSTALLATION
The InstallatIon is beIng made on
property I own whIch 1S not Intended
for sale, lease or rent.
Owners Signature:
DATE~-----------T7--7~cr:~-----------
RECEIPT J: LJ r - /\r / r) n q
RECEIVED BY:~ ~ ) . /
\
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Cucui ts
S 40.00
$ 55.00
S 80 00
see liB"
above
New, Alterat10n or ExtenSIon Per Panel
One CIrcu1t
Each Add1 tlonal
C1rcult or W1th SerVIce
or Feeder PermIt
$ 35 00
$ 2.00
Miscellaneous (Service/feeder
-Each installatlon
Pump or IrrIgation
Slgn/Outllne L1ght1ng
LIm1ted Energy/Res
L1mi ted "'Energy/Comm
sUB~~J}lnJfvVV0
5% State Surcharge
TOTAL
E.
5.
not 1ncluded)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Go CO
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