HomeMy WebLinkAboutPermit Electrical 1993-09-21CITY OF SPRINGFIELD, OREGO'V
225 PTFfH. SIT,EBT
SPRTNGFTBIJ, OREGON 97477
INSPECTION REOUBST: 726-3769
oPFICE: 726-3759
1. LOCATTON OP INSTALI.ATION
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BIACTRICAL PERHIT APPLICATION
City Job Nunber
3. COHPLETE FEB SCffiDI'LE BELOS
A. Nev Residential-Single or
Multi-FamiIy per dwelling unit.
.
t"t""e rncruded: rtems cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular DweIIing
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
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JOB DESCRIPTION
A\nv "* Irr: st ( ( ,c--l-) or-l
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CO}IIRACTOR INSTALI.ATION ONLY B.
Electrical Contractor Antt.r i teg.V. SeCu n r\y€q et: L.^ -
Address {!9 6r,+rFiet4
Ci ty ptrone 393-lS5 o
Supervisor License Number tebeJ LE
Exp iration Date
c.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps
0ver 1000 amps/volts
-Reconnect Only
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
Expiration Date
of ising Blectrician
Ovners
, tiAddress \tQO L-{ "'a',,^oir-.
ci
-T
Phone
OSNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:Jr
Temporary Services or Feeders
Installation, Alteration or Relocation' i,i-
D. Branch Circuits
Nev, Alteration or Extension Per Pane}
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
200 amps or less $
201 amps to 400 amps
-
$
over 401 to 600 amps
-
$
0ver 600 amps or 1000-T6Tfs s
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lighting- S
Limited Energy/Res tz $
Limited Energy/Comm $
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
40.00
55.00
80.00
ee trB" a5ovf
not included)
40.00
40.00
20.00
2D. ADl-"oo
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RECEIVBD
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