HomeMy WebLinkAboutPermit Electrical 1993-2-1
.!OIlOWing project as submilled he' the following . ~.
,19, and does not require specific land use .,.~
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoninp ( ( ~ -:</)} IS
INSPECTION REQUEST: 726-:~?69 2- 1-~Q3 City Job Number OREGON E[E(fiUC "RVI6~
OFFICE: 726-3759 310 - I
Aulhol lIed Signature <<:3.
1. LOCATION OF INSTALLATION )
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LEGAL DESCRIPTION
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9;2..00
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
Electrical Con tractoQREGON ELECTRIC SERVICE
Address""J,~)Q u") 7 'I-f. (..)A~ D
Ci ty YAA.A L- " Phone~, . 1/0<;(/
Supervisor Gicense Number ,I .3q~ ~\
Expiration Date /n/q,c:::.
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Constr Contr. Number '- -\)( r')(") /
Expiration Date q (q( n
Supervising Electrician
rlLfl P /lA-/ '.
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Owners Nan\~Q" 0, _ ---"
-----
h~i # ~
Address ~ <j -S'o {l_
Ci t4h 1 ~ ,J.LJ..cLPhone 747 -/~'i? /
OllNER IN~TION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
1- 2- '1 ~ '23
'7.2, 77 '
.~
tC -
DATE:
RECEIPT #:
RECEIVED BY:
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$',40'.00.
.; ",;.~:~:.:..:~.I
, .
$ 50.00 ...So "'-0
$ 60.00
$100.00
$130.00
$300.00
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit .~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2. 00 I 0 <H:l
not included)
,
$ 40.00
S 40.00
$ 20,00
$ 36,00
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