HomeMy WebLinkAboutPermit Electrical 1993-9-3
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SPRINGFIELD
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225 FIPTH STREET The lo\low<ng;~," not require spec"'" , ELECTRiICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477;.~;~~~' ." . \
INSPECTION REQUEST: 726-3769 ,c. c... City J\. b Number &J5 /5"6' /
OFFICE: 726-3759 zc.nlr,',,_. _ . " .
. . C1 ' ~ j1) 3. COHPLETE FEE' \SCHEDULE BELOV
1. LOCATION OF IN:;TALLATfONq- . ure ~ -' ~
&<1,-:>., rr7a,uY! <<::;!-.AuthoriZOdSI9nal . \ .... New Residential-Single or uni t.
Multi-Family per dwelling
LEGAL DESCRIPTION Service Included:
17~-~~// ~~ Items Cost Sum
.....,
JOB DESCRIPTION
w..:f\ 0 ~a,/'l '~'IIIIYYi'.r 0 _ ~n;~ /lon'il:hClA.1r
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 Contractor~"p, JJ,~.
Address p, O,~-.L p/g,{).
Ci t~',no' Un f'rl Phone].q"/ -.-2.:J!'JI...p
Supervisor Licen~e Number Jt ~~{o2)
Expiration Date In-i-O,,,,>
Constr Contr.. Numbern.':2.,9.<jq
Expiration Date
Q- l-q4
Si~re of superv~~ Elec~ian
/' ~_d(~ C; /~
L.--"' - ~
Owners Name,! J.. )() J r 0 )' I1Yl1 0 r md/r)
Addressi.L<l2, fY)()..m 'AI,.
CitY~r';fXbtil f'cLPhone.7:i.7-'~,~1
OVNER INSTALLATION
The installation is, being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT I:
RECEIVED BY:
'7-""?-"'5~
/O~~
~~.
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
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 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 i
$ 35.00 05.00
$ 2.00 d.N)
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$
$
$
$
, =37.00
.3 ~J/~
40,00
40.00
20.00
36.00