HomeMy WebLinkAboutPermit Electrical 1993-8-23
. Tho f~!I~wing project cs submitted. has \l1A following ~
zor . q, 1nd does not roqulre sp:Jcihc left" u:ie ..
225 FIFTII STREET or- ~"I. ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 97477 7' CC, q '.") r.l -
INSPECTION REQUEST: 726_3769~ntna q City Job Number ~O 7 )( S
OFFICE: 726-3759 Dalo_ _:..0:: _7 j
. Authorized Sianatura 3. COMPLETE FEE ,SCHEDULE BELOY
1. .-LOCATION OF 'INSTALLATION _'_
~6\O MAIIJ _'" A. New Residential-Single or
1~'1 '2.f'A Multi-Family per dwelling unit.
'>-. LEGAL DESquPTION " cA3~ \ Ol...JJ..J Service Included:
UfV\f J30Nd CA'R.. '-\'51+ Items Cost
JOB DESCRIPTION, .
Irn~""-.r~~A.~JJ1A-~ I'^l''\
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
Electr'ical Contractor AleuJ 144/ ff~
Address h02. IPJ b oft.... ?l1, !?'50~
f
Ci ty E"UlQedL Phone -1arfo-7~3 &,5
Supervisor License Number 32.~-:1j
Expiration Date
I() -/ - 9'5
Constr Cont~. Number ,;7n ~/'1S-L
Expiration Date
/0 -'-I - 93
Si~~~ctrician
Owners Name hd 2f::.1/
Address :5 N #67tp,j A SIr.;F~
~ity,~j?~ Phone Vh -572/
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.43~~
..)-G.~"\ nOZl.o
MTf1T"~
DATE:
RECEl;! i: ,
RECEIVED BY:
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, Alterations or
Relocation:
200 amps or less . --L--
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
$ 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 "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Serviceffeeder
-Each installation
Pump or irrigation
SignfOutline Lightin~
Limited EnergyfRes
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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