HomeMy WebLinkAboutPermit Electrical 1993-10-12
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'l'he fo""wlng project os submitted has the followln ~
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225 FIITH STREET ..pp..oval. i EIJ::CTIUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning ct-
INSPECTION REQUEST: 726-378!., II' ~ ~\ z..-.q.,., Ci ty Job Number Vf ~ IS/.....()
OFFICE: 726-3759 ~ ,JAA'~
AUlhvrized Sl~atur. 1\3':' -COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION - -
4-2..2.3 ml}l/v sne. / SPpp A. New Residential-Single or
Multi-Family per dyelling unit.
LEGAL DESCRIPTION Service Included:
IJf)-:J::!',,?~"'") (")1"1(')(') Items Cost Sum
JOB DESCRIPTION
If' E mouE mtJlV/TO,l!IIVt.- (J, T..<)
Permits are non-transferable and'expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. - CONTRACTOR INSTALLATION ONLY _.
Electrical Contractor L. H, fUP/te/S Ek.J-
Address 4~':Z
Ci ty 5/~/:J,
<;h~II'j ~,
Phone 7t:f7-i:?~/1
Supervisor License Number 3o~c;.. - 5
Expiration Date /0-/- <1lJ
, '1'1-
Constr Contr. Number 01(('1 f'
Expiration Date
~
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Signature of Supervising Electrician
v'l~_?L,~
Oyners Oame ,1/tICt: C#OJl'/tfIe
/.-4'J~2.,
Ci ty ~rO
OVNER INSTALLATION
Address
~n,~"-'
Phone 7 ~- 6tJ4<1-
The 'installation is being made on
property I oYn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT 1I:
RECEIVED BY:
J()J"')..I~:>,
I Oc,l-/ C\
};:)P, .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm ~ $ 36.00 ~';,--
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
'3'- -
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