HomeMy WebLinkAboutPermit Electrical 1993-5-14
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225 FIFTH STREET ~~:~v:t'''''o" ''1~iZP:!r. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoninn .,.- '. J
INSPECTION .!tEQUEST: 726-3769 ~ I,,j,q J Ci ty Job Number 93obl/-4"
OFFICE: 726-3759 0-1,__1- - (J....r-. .
,..'wized Signatur._J..HOKPLRTE FEE SCHEDULE BELOV
1, LOCATION OF INSTALLATION
~.;73 MI4',..) A, New Residential-Single or
Multi-Family per' dwelling unit.
LEGAL DESCRIPTION Service Included:
//]/)"i~"",~/lc26ol Items Cost Sum
/ JOB DESCRIPTION
I?R. CJ<T A-LTER.f1TlD~
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 B,
Electrical Contractor & hS#t::A h~
Address IRo KrAJ<5SBwe."; M.
City &6. Cf7l/oJ Phone '19-7'173
Supervisor Licen.se Number '3c;?5 S
Expiration Date /6-I-CfS
.. C,
Constr Contr. Number ~ 9t/l-ll9
Expiration Date 'l-/4-,-7'/
Signature of Supervising Electrician
~}1-~/
Owners Name \fa-!- _ \2{ (/ i 1/ o/n
Address tJq 9'Cl (I. '/ f\. ~
Ci ty Sp p-! d Phone 741 - 5? !JJ:-/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~-------~~:.l-~:~~--------------
RECEIPT .: 1:> '-t 0t
RECEIVED BY: V-AI'" "
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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 ampslvolts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
~~.
50.00 ~
$
$ 60,00
$100.00
$130,00
$300.00
$ 40.00
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 trB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E,
5.
SUBTOTAL OF ABOVE
5% .State Surcharge
TOTAL .
-'- $ 35.00 :35~
$ .2,00 .
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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