HomeMy WebLinkAboutPermit Electrical 1993-12-20
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225 FIITH STREET Zonina (' C_
SPRINGFIELD, OREGON 97477 I'"" -
INSPECTION REQUEST: 72Gal3769 ,t-J.- ~O -'J)
OFFICE: 726-3759 Authorized Signature ~ <:;
3.
1. LOCATION OF INSTALLATION
(j 0 (j 0 m 0. ifl .s7AL,d
LEGAL DESCRIPTION
'170"). 3J qJ
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JOB DESCRIPTION
(I rP 1'1 i h'fY-'\t'AJ! llu,J ("1
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
.....-...........,-,a.:.IL.U
Ci ty Job Number 0 ~ J I c::, ~
COMPLETE FEE SCHEDULE BELOV *
New Residential-Single or
Multi-Family per dwelling unit. ,
Service Included:
A.
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor,.lf:2tJ-;unr J;u"l.IlL~lew.-<. Relocation:
U-- Stlllia.r"c:..-.
Address P. t) . ~D)( .23><I:t1J 200 amps or less
~ q,1ifoZ- 201 amps to 400 amps
Ci ty U-Ly"', () f... Phone 3"<I-~1 401 amps to 600 amps
o . 601 amps to 1000 amps
Supervisor License Number ...1f2!} 'J 5 Over 1000 amps/vol ts
Reconnect Only
Expiration Date I D-I-Gj 5
Constr Contr. Number Q0200
Expiration Date
~ 11111-'-
Signature of Supervising Electrician
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Owners Name C\ \AJ \J.orJ1 o~
v
Address I-tOY{) W"\().(^,",-,
Ci ty ~Ir" "'s-t J(..(Phone -W'h. Cj q 11~
OIINER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------~---------~--------------
DATE: I", IlL> 10':, '.
RECEIPT 1I: 1 IO'l(h
RECEIVED BY: C\<;l..
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
pO. <70
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
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circu it
Each Additional
Circuit or with Service
or Feeder Permit
E.
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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