HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FIFTH STREET zoning, and doas not require specific land use ELECTRICAL P'ERHIT APPLICATION
eooroval.
SPRINGFIELD, OREGON 97477 /J ~
INSPECTION REQUEST: 726_3769,nino C
OFFICE: 726-3759 Date_4/)..- '1..3
1. LOCATION OF INSTALtAifoN'd Signature JRII3.
t./2.R ~p ~7 ' A.
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LEGAL DESCRIPTION
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JOB DESCRI~tON_ d _
/~~ _~ /'~~-QAl'"'~_
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 4-.I1t1/A EMtc
Address .;27f2_ C:-"'?'J/d 6'/u~
Ci ty h!'~.e?r/
. /
Supervisor License
Phone .3Si-? -7c?-9 ;7
Number J?j,S.:zc:;-5
/p-93
Expiration Date
Constr Contr. Number /7.:2.s-2
Expiration Date
//Y-93
Signature of Su~ing E:~ician
o--ad~yudff!B
LL /' r
p.ers Name
Address
Ci ty
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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"7'9/<<3
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'/
DATE:
RECEIPT 11:
RECEIVED BY:
Ci ty Job Number
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
It ems
~~~sI
.;'
uni to
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit ~
-L
'.
$ 35.00 rr
$ 2_.00 ~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$
$
$
$
C/I.~
--:;? -"".5'
e../?~ -
40.00
40.00
20.00
36.00