HomeMy WebLinkAboutPermit Electrical 1993-8-4
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225 FIFTH STREET , ~'; :~{I,i~nd doeynJ~lJtre1pecijlC lanttttTTucAL PERMIT APPLICATION
SPRINGFIELD, OREGOn 97477 I ~ I ' 'n '::{ \'\/\ Q
lNSPECfION REQIJEST: 726-3769 Zoninl' ce...- Ci ty Job Number ' '-1 U ' '\( )
OFFICE: 726-3759 [,,', !?- -~ -'1:'
3~KPLETE FEESCIIEDULE BELOV
L ,"OCATION OF INSTALLATI}t'orized Signature
4- Ll- , fY'I tl:-l ~..) ~. ,
J,.E.~ DESCIUJ!fION '.:\
\ "Udi~A'?)cf-... n \ 0.. ()CJ
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
..... ......~.-...........
'l.
A. New Residential-Single or
Multi-Family per dwelling unit. , ,
Service Included:
Items Cost Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof' $ 15.00 I
Each Manuf'd Home or {,
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACfORINSTALLATION ONLY B. Services or Feeders
I\'(A. . (j 1'/ LL: Installation, Alterations or
Electrical Contractor~ .4V ,L1 ~l,\'(1LRelocation:' ,
AddreSS 3 S ~~ (1J\.-r~ ~ .
Citytv-\- ql~O, Phone d-.4-f;.....lily:.
Supervisor License Number Ita ~~.s
,
Expiration Date flJ -, -9. ~ I~
OL3 S2-0(Pj, Ib/IJ C.
'eonstr Contr. Number .:JJ.,~(lL q;J
Expiration Date-1J/zS-/g "3, '
200 'amps or 'less
201' amps to 400 amps
40.1 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
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
2M amps or less '
201 amps to 400 amps
~~, :~~f SUP;~V:!li~ ~ctri1rP Over 401 to 600 amps
~,~y~~~ ~~ Over 600 amps or 1000 volts
('If n ,A''''h ~^ I . '\ _ =,..J... [\ D D. Branch Circui ts
Owners Name VU!J{ \ L.U', u..)((U),\ ~
('/C:r-\ \~' ~ew Alteration or Extension Per Panel
Address~D~ 50 Sc.hol'S ~J2iYZ-t\1.1" , 3~oc
City V0<1"tcnr1 P-\,one ~~~h c~~~~~~onal $ 35.00
'1/a8-S Circuit or Itith Service
OllNER INSTALLATION or Feeder Permi t $ 2.00, d-d.)O
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature I
---------------- ,~T:tJ', - -
DATE: n ~) 'I.'--\~ '
RECEIPT II: U '" -----~~Jl.(.~
RECEIVED 81\: _ J )1 J_'^ _ } ,
S 40.00'
$ 55.00
S BO~'OO
see "8" above
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ '20.00
Limited Energy/Comm l '$36.00 ~Io -00
5. SUBTOTAL OF ABOVE -, ~j'){)
5% State Surcharge ~ ,,_c.
TOTAL -=l'~ . ~