HomeMy WebLinkAboutPermit Electrical 1993-9-15
..
.
SPRINGFIELD
"\ ,. i,,:-"",'vlnq project r:.s submitted has th? folloWIn
Z0iTl i"'.....~ not r....~,1\!ire r:-;x. -:J;:' !a;.u uce
apjJf I", \I....'.
225 FIFTH STREET " . (I 0
SPRINGFIELD, OREGON 97477 '_omo[' --- '
INSPECTION REQUEST: 726e3769 q~\h-CB>
- OFFICE: 726-3759 lJ.A.N'----'
. Authorized Signature, I" - g~
1. LOCATION OF INSTALLATION
~2-"7 /??-A-9....) /f/,
LEGAL DESCRIFTION
-p-n~ ) ~ ZJ
JOB DESCRIPTION
_<\;;>eff/~ ("~;. 7' ~,1;ea../.?S .
J") _~b7)
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
Elec.trical Contractor E~ .17s~
Address /9..,? ;&A/<('~~
Ci ty !?Pf Phone Ct3 '7 -7 f? .J
Supervisor License Number "'3 '7 7 S S
Expiration Date/~ //,/5' J"
Constr Contr. Number '~~~5'
. -
Expi~ation Date <11(~f
Signature of Supervising Electrician
>eJhi! :; dA'
..
O N /r,.._./...z. ~~
vners ame ~~~ ~.'~1(~
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------_..!.-
"9-/)"-2'?
, /D~
~,
DATE:
RECEIPT. f: -
RECEIVED BY:
Ci ty job Number
1
e6HrLE.~ t~E SCHEDULE BELOV
I
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit .
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alt.erations
or Relocation:
200 amps or less J--- $ 50.00 1:2:>l. -
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
D.
Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit G}
$ 35.00
$ 2.00 /~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.
t:-,-Bo.&>
~.t40
'7 I. ~a.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL