HomeMy WebLinkAboutPermit Electrical 1993-1-27
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Thel fOIH.Jwihg project as submitted ho.... tho lor' "",'i"
lOn ng, and does not ro' .. ~ ! I....l~ -,;g
225 FIFTH STREET epployal. qUlle specifiC ISlId 'EIffiCTRICAL
SPRINGFIELD, OREGON 97477 z' i /
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INSPECTION REQUEST: 726-3769 I r '7 Q-'
OFFICE: 726-3759 Date -01 - f.J
Authorized Signatur <:. r::.. 3.
1. LOCATION OF INSTALLATION e--3.
LjO I &) mil; (\ st., <; u ite E A.
LEGAL DESCRIPTION
1'702- 'v 4/
tb fi>b"D
JOB DESCRIPTION
inc,tall S..tJ.lV'l'+j <;tf'tevn
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 Snnib:n\ ot t.MJeI1Q.
J
Address P.n. \2,ox 1-100g'
Phone 4<i?~-(" ILfL)
City <;..u3~hg-
Supervisor License
Number .1-c.../(Ei
Expiration Date }/)-1-9<.
, -
City Job Number
COHPLETE FEE SCHEDULE BELOV
New Residential-Single or
Hulti-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
uni t.
Items
Cost
Sum
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
$
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number-LR'11 t.j g
Expiration Date It) - 2...'3 -q ~
Signa~e)in~ Electrician
// -C/ .~
Owners NKnie JI'i3 h (2,"st: Vmfu Vp <,
AddresS~I.lIY\ S+.. Slli+<>- F
. . /
City ,<)pri~'eld Phone 14/0-0747
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
. RECEIPT II:
RECEIVED BY:
/ - 2. C:> -7:3
7"<.4-r(l-
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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 "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm'
One Circuit
Each Addi tiona1
Circuit or with Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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