HomeMy WebLinkAboutPermit Electrical 1993-5-24
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225 PIFTH STREET ' . . r C.
SPRINGFIELD, OREGON 97477:.",0;,_..__ .
INSPEcrION p:OUEST: .7,26-3769. /.':/' /7} rr
OPPICE: 726-3759 I' . ,-
Aui:horizcd Si{jnc.turo .J .
1. LOCATION OP INSTALLATION \
.110:11 /lJ ~/II/ ~ r;f-. (F_e.,'/!-s RJi!#:. A.
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-1!j~mON (i)((LCLr)
JOB QES~P1~ON/,
_ .5' Flit-- ~')tI ~v:,.lA1'9 '17tW
pzrmits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRAcrOR INSTALLATION ONLY B.
Electrical Contractor 11J1IA1~./7/Mj f,;~
Address p~, 8t1J1( iX"t '7
City R5?'dLM.t'!- Phone ,:j~~-17t,5".
1
Supervisor Licen.se Number '7"7? S':;z
Expiration Date
Constr Contr. Number-tni/d\.8
Expiration Date (~.q A:::'j4'
Si~ure of Su~e~~ng Electrician
7-?~//17 (7-"~&~
Owners Name fJl9(1.(JA~A WM!>
Address4Q27 /f'lt9,1II '5';'
Ci ty 6f'AIa-~j:j~ Phone .z~-.w1l5
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OVNER INSTALLATION
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The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
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RECEIVED BY: ( -!y./lf ~ I .
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SPRINGFIELD
. ELECTRICAL PERMIT APPLICATION
.' City Job Number3;:3lY7lCj
Cu"yLETE PEE SCHEDULE BELOV
New Residential-Single or -*
Hulti-Family per' dwelling unit. "
Service Included:
Items Cosf ,Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, AIJerations
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
S 50.00
$ 60.00
$100.00
$130.00
$300,00
$ liO.OO
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
$ 40.'00
$ 55.00
$ 80.00
see UBI! above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 .
$ .2.00.
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
c4f) ,cO
,c.() .00
4i:.j CYJ
SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL