HomeMy WebLinkAboutPermit Electrical 1993-8-23
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SpaFIELD ._ . I .~,
Tho followlno P'olect b.
zonin. ' r.s AU mitler! h"" the foJ/ow1nll
epprovL., .,...,. ,_..<1 u'ELECTRICAL PERMIT APPLICATION
97477 Zonjn Ce..- j
726-3769 g City Uob Number
j
COHPLETE FEr SCHEDULE BELOY
New Residential-Single or <<
Multi-Family per dwelling uni t':-", ..
Service Included:
I terns Cost Sum
225 FIPTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759 Dste.....S-.::.2-:3..q:?
Autho,jzCd Sign I ~
1. LOCATION OF INSTALLATION sura 3.
.? / T7~6 P.?..o 2,-.} /17fi.f/ A.
LEGAL DESCRIPTI!)N \(\ r-- f\ ":if, --:J.f\
~/_) r /"'7.,<7//1/' II )cACXJ.~ D
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JOB DESCRIPTION .
// p- ".,. h<> c:;.6 '-/ ./.f c p ",..pEe. '/
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
Electrical Contractor /Jiltl( ~t.t:C-
/'7 ,,0./ /'"
Address ~J''//
City 5p..FaJ
Phone ?:z.( 670/
Supervisor License Number .J O;l. J d
/C/ 0/9)" ..
Constr Contr. Number 7.:2.~')O?
EXPi~ation Date 7 &;/9Y-
, Signature of Supervising Electrician
Expiration Date
yP -- ..-?
~ \ /-;" -/ ~
Owners Nam~ _0\\\ \\~~~\\\t) rth~o
Address R. ~J 'A. q~
fi fW___~one - ~
f-
STALLATION
,----
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
oWer;';' Signature:
iiATE~-cct\~--Q?;TC\-~~----
RECEI PT I: ~ tr r-Q '-:5-0 '7') /
RECEIVED BY:YU YA. , /f.f1::&O
q3\~b\
1000 sq.ft. or less
Each additional 500
sq. fl or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
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 ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 <=tf)
r .
c.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 491 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
New, Alteration or Extens(on Per Panel
One Ci rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00.
.
$ 2.00
E.
Miscellaneous (Servioe/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '