HomeMy WebLinkAboutPermit Electrical 1993-7-2
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approval. .
225 FIFTH STREET ~oninr3 . c...
SPRINGFIELD, OREGON 97477 '1~\o,?
INSPECTION REQUEST: 726\!>,1769--
OFFICE: 726-3759 AuthorizecI Signctur:_\:Jiib.
3.
1. ~~I~~ ~tIT\~ A.
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\ JOB ~SCRIPTION ,\ "-
II \.. '.A J\ (\ I , l L--> )
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
J
2. CONTRACTOR INSTALLATION ONLY B.
Electrical con.tractor~{J~
Address4e2jJ? ~~X Q ~lf(1J~ 0 'tJ
City Wt(fi Phone.S;[/-0-A~
Supervisor Licen.se Number \Rl( \5
Expiration Date \~. \ .~:=) ..
Constr Contr. Number f\. rW\ ~
\ tl C /).'
Expira tion Date \ . \ ;.}' \ -_\
Sign~t~re ~f s~tvising Electrician
- A~-~
o ners Name m \\'em S\~JVV \
Address ~Q?)l()~ ~LiW~
Ci ty~ (-,,)7)1 .p --' PhonD CftQ ,II ~
O~ INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~
DATE~-----7---"-r&--7:;7.9'Z,---
RECEIPT I: \c---J' . ~ ("'..l~ nt
RECEIvED B'y~~r In_) v I \
S!N_LD
ELECTRICAL PERMIT APPLICATION
Ci t~ Job Number q~r5
COMPLETE FEE SCHEDULE BELOV -<<
New Residential-Single or . .
Multi-Family per dwelling unit. .
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
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 volts
$ 40.00
$ 55.00
$ 80.00
see "8"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00 J5
Each Additional
Circuit or with servi~ In
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/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
4-~ ,CO
rV.~c::'
"'+- r \ ,/..J~~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL