HomeMy WebLinkAboutPermit Electrical 1993-6-28 (2)
The following project as aue...:::. ~ : ~_lhe foil tI~
zcr,lng, and does not require specific land use . .-
a~poval. ELECTRICAL PERHIT APPLICATION
97477 Zoning 0e-
726-376~.,,?,~ _~ . Cf/ \.01 ty Job Number
Auiiw,zad Signature 3 ~PLETE FEE '-SCHEDULE BELOII
LOCATION OF INSTALLATION
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225 FIF11I STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
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JOB gESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto~"^~~,, '\
Address '-\"'"'''''',
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Phone '-\'i-.i:::; - \.~\'-11....1
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Supervisor License
Number
Expiration Date
q~oCX J')
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
, thereof
Each Manui'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Items
Cost
Sum
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
*
Constr Contr. Number ":::l<u- \,=,,('\. 'S-..
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising'Electrician
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Ovners Nallie V~c.K S ~iJc:v--.J
Address ~:J. \ VY\ C;U;", j ~ opt
Ci ty 'S:.flV' 0 ~'"\d i, Phone il..f I - 6Y toy.
OIlNER INSTALLATION
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
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RECEIPT #: q:r:l,')
RECEIVED BY: ,0:>,
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Ci rcui.ts
$ 40.00
$ 55.00
$ 80.00
volts see "D" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightiny
Limited Energy/Res
Limited Energy/Comm'
One Ci.rcui t
Each Add it ional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
S 35.00
$ 2.00
not included)
\
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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