HomeMy WebLinkAboutPermit Electrical 1993-4-2
225 FIFTH STREET lh ' @j11 ELECTRICAL PERMIT APPLICATION
o following ,
SPRINGFIELD, OREGON 9747.7inQ and dProJoct os "Ubmittod h-- t '
INSPECTION REQUEST: 726"-3769 nas no! roc;uire spacmc";;'nt;:'uf;"cCf'V}' Job Number
0"
OFFICE: 726-3759
Zoning ~ 3
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1. LOCATION OF INSTAtl!A'l'roN_p~:fl-'73
51~o 'rtI,CLLn ~G\'Dq~t~:lS\~'
JjD~~~ON ()t.olOI
;JOB DESCRIP;fION
\1'\4tJ I 1"1(111) +1'.\t.tUfe...
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 L,R, ~c..'oham ,~(' .
Address 6~ W. Q ~J\O.t.\'
City ~0"'\fIt)~t..W Phone 1U.1~bio32
Supervisor License Number 14l3::::'
ID!,\q<:;
Constr Contr. Number b~bqq
\ d-\\8,B~
Expiration Date
Expiration Date
Signature of Supervising Electrician
<P ;/~p{ ( A"~~.,
Oyners Name ~\ ~ S\-t~Y'\ kt/
Address SI ~lo \'Y\.~I'\ SDl1.
City 5tfJ. Phone 1~,bSb3
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OVNER INSTALLATION
The installation is being made on
property I oyn which is not intended
for sale, lease or rent.
Owners Signature:
-----------------~-?i---~--~-------
DATE: r O~ - 2/2 -""7\'
RECEIPT IIt~ . --.{/KK'Z -
RECEIVED Y:, "H..I'(J /
) -
COHPLETE FEE SCHEDULE BELOV
New Residential-Single or
Hulti-Family per dwelling
SerVlce ~ncluded:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular DYelling
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 amps/volts
Reconnect Only
""it. *'
Cos t 'Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Extension Per Panel
"2~~O
~ $ 35.00 ;;?'
Ney, Alteration or
One Ci,rcui t
Each Additional
Circuit or yith Service
or Feeder Permit
$
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. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL.
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