HomeMy WebLinkAboutPermit Electrical 1993-9-27
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SPRINGFIELD
. t submitted has the 0 OWl
The, fOg!!OaWnidngd~~~!~~t ~:q1Jire specific land use
zonm , .
approval. I .,.;tJ A
225 r~r.o STREET \/~.
SPRINGFIELD, OREGON 97477 Zoning
INSPECTION REQUEST: 726-~769 t\ -7.."'1.J1"')
OFFICE: 726-3759 b... fro. ""-::'_.
AulhorizedSignature W' 1 eo........,... r..E SCHEDULE BELOII
1. LOCATION OF INSTALLATION
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. LEGAL DESCRIPTION
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JOB DESCRIPTION
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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~C~ ~.a;j~
Address GUS 7 tl'n'J .
CitY~f'O Phone..Ltj{P-t/fgSG
superv'isor ct!cen.se Number ~ R3
Expiration Date 1(') - 1- q S
Constr Contr. Number. 110 fi! fiq
.,
ELECTRICAL PERMIT APPLICATION
City Job Number
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
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uni t. 'M..
cost~
'P
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
I~
~
Items
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
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date Ll.-dY -qLj
Signature of superViS~i g Electr.iCian. .
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Owners Nam-2D.{\l~ ()(\ *, D.
AddresQD ~ ~
CityN-\9Nl. Phon~
mINER :&sTALLATION
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t - $ 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
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
<9- <7-93
/4yc;7
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DATE:
RECEIPT. I:
RECEIVED BY:
5..
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
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