HomeMy WebLinkAboutPermit Electrical 1993-5-6
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225 FIFTH STREET 'ZoninrC c..
SPRINGFIELD, OREGON 9747'Z .!, l; it Ii}
INSPECTION REQUEST: 726-3769- - -
OFFICE: 72'6-3759 /'utncrizad Signature
1. LOCATION OF INSTALLATION
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LEGAL D~SCRIPTION n 033S~ J
.-~("dci l~ '&CX<./Ld
JOB DESCRIPTION -.
7Wo Ale.v E~ cuec~
A.
05300
, ,
'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 B.
:~lectrical Contractor....AIe-w w~~
.,Addr:i!ss i<o, Po;.:, .;l.1~0:5 lfU)'l. ~.p. r,fI..
':',,! City t::IJ"e..;y. Phone Uft,- Z-3G t;
'."::.':,'i!.:i'}...
."f"'iSupervisor License Number ~"2~? - S
, # ;,;.. ....:' - . .
0,.
, 'Expiration ,Date
10 - I - qS
ELECTRICAL PERKITAPPLICATION
~ . Ci ty Job Number q =z..) d C"q'13'1 M, fJ1
COMPLETE FEE SCHEDULE BELOV LJ ~/
3.
New Residential-Single or
Multi-Family per'dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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
Constr C~ntr. Number '2.0 -fils c....
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date
It> - 1- 0/ -"5
Sign~~~ectrician
/ , D.
Owners Name 5tf)~ \(') (), J:A1,tl;..~CV\cJ...
\ 0
Address l (') () \ \N\ Cu~ S?t"
Ci ty..:;r,v' , V\C \:;. p .P g Phone
, ....J
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit (
Each Additional
Circuit or with Service
or Feeder' Permi t I
$ 35.00 ''SSClO
$ . 2.00. ::1,00
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
Owners Signature:
DATE:
Rt.<.6.li'i ,:
RECEIVED BY:
'SIr-, \q-:>,
<;2"3.\(';).
ClP.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
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