HomeMy WebLinkAboutPermit Electrical 1993-6-1
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SPRINGFIELD
Tl'-~ following project as ~,-':.;rll" _ 3C ';; 'I.:;~.C: ;IG"
7.01Iin('. GIld doss no~ rcq\..i:r.J Er .Il'" - ...
225 FIFTH STREET epp:mal,: a l_ V tz.
SPRINGFIELD, OREGON 97477 Zon," , J
INSPECTION REQUEST: 7(26,,-3769.l.U...!?
OFFICE: 726-3759 ---- j-~
Authorized Signature
3.
ELECTRICAL PERKITAPPLICATION
q~DILfJ
City Job Number
COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION '"
ti~2, ~ v11~ '5d->at c:;r'J/(,
LEGAL DESCRIPTION
1"1 O:J. "1,2, 00 6t:l,(")C')
A. New Residential-Single or
Hulti-Family per -dwelling uni t.
Service Included:
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
JOB DESCRIPTION
---.1:k~1A I ~::"'ri/\""r ('~!+
Permits kre non-transferable and eKpire
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 ('t"r,'-'1"l(4{' ~
Address 0 . \J \ &.d r-- 2.G, S
City ~~Ok Phone 7N-o'10S--
Supervisor Licen.se Number ~ .:; G~'- 5
EKpiration Date 10/21 (cii
I v_,
Constr Contr. Number W-2...'I."tc..
$ 15.00
$ 40.00
Services or Feed~rs
Installation, Al~erations
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
Temporary Services or'Feeders'
Installation, Alteration or Relocation
C.
EKpiration Date {o;:.../1tf
, I I'
Signature of Supervising Electrician
A0--~1 '
Owners Name ('A-t~{>1.IV't. Gtt-A-,d(e.
Address '::l3~ ") rv;~ Sf/''=-t 17(/
City '5~ d Phone 7 Y 0-')0 ~ '-
'J
OVNER INSTALLATION
$ 40.00
$ 55.00
$ 80.00
vol.ts see "B"
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
above
D., Branch Circui ts
New, Alteration or EKtension Per Pare 1
One Ci rcui t \, $ 35. 00 ~C:;()O
Each Additional
Circuit Dr with Service
or Feeder Permi t $ , 2.00 '
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Hiscellaneous (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
Owners Signature:
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
":l,c;.nO
1,1e;
2../_ Ie.
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DATE: ~I \ le\,=>,
RECEIPT I: /;?i;,.qc,
RECEIVED BY: (.J (.l,