HomeMy WebLinkAboutPermit Electrical 1993-9-20
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225 FIITB STREET appro~31. rvl' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zanina VV
INSPECTION REQUEST: 726~3769 A City Job Number q ~ J'+ .~
OFFICE: 726-3759 D8tO_~f) .....- ,~l".. ------<~i': ,
' , arizod Signature_'Ii""\- <;;gHPL....r. rr.r. SCHEDULE BELO\l
1. LOCATION OF INSTALLATtoW
3d 1'-1 mo/n .s!-. A. Nell Residential-Single or
Hulti-Family per dllelling unit.
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if Ilork is not started IIi thin 180 days
of issuance or if Ilork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Sm;+r/)!, C:;wrfly
Address f D. f5,) y 2/(J/)9 '
Ci ty _7:u CJLM P
J
Supervisor License
Phone-.!it. 1-.tj0.2ff
Number .'5(" If",,-I
//J-/-9'?
Constr Contr. Number ?,,~ 1.!:L9
EXi>irati~ /P/,2,? /9("
~~~uP~iSing Electrician
'I ;;ti
Ollners Nanie_/ /, <\
. Expiration Date
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@ 2,JC}4 I'Y\~ Sf,
Ci ty 'S P1Jf:P . Phone 747 - 'I:J.29
O\INER INSTALLATION
Address
The 'installation is being made on
property I olin Ilhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: -------t}I;J<?I~~---~--------------
RECEIPT i: J()?-'~::>.,
RECEIVED BY: we,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dllelling
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
Items
Sum
Cost
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "nO above
Nell, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm'
One Ci,rcu it
Each Addi lional
Circuit or Ilith Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
S 2.00
not included)
I
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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