HomeMy WebLinkAboutPermit Electrical 1993-12-21
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SPRINGFIELD
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225 FIFTH STREET ,\\"";o\\c",~\1doesnollaC\ n ELECTRICAL PERKITAPPLICATION
SPRINGFIELD, OREGON 97477 .\g,~r, WlO K..--
INSPECTION ~OUEST: 726-316'9 ' 'g~-V~\- 'B City Job Number q~4..
OFFICE: 726-3759 Zon\n d--~\ \ \
~"- \ ~ COlU!I.B'I.'E-FiE SCHEDULE BELOII
1. LO~IOttilF- INST~N 'nc\U:C-:------
~ I~J ,--.k1 mer' \Yo...~\;',f:t::Ijl"\ . New Residential-Single or
Multi-Family per dwelling unit.
LEGAL--p~qu}'TION ,..JrY\ Service Included:
\fl()?;"2l~a~ NO'l!iJU Items Cost Sum
,LOB ~ESCRI~ION
S.\-. \YIlD\.(\\l..D,K'9--
\~"N ora
'.
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 ~ Elod/{ c~
Address 1-;,('(;, A,-; /'/'m.-c J/
Ci ty 'J3"Ltc,-4...€.. Phone ~7~},~?7i.)
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Supervisor License Number ~817~S
Expiration Date /,,:}/;/9<:-
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Constr Contr. Number r.rst~
t/2<; /9"/
f
f Supery1fi~g Electrician
. ^'" vtY ~../ -- .
Owners ~ ~.b~'J
Address-.0~'G'-o '-~t\0\lLC;~ ~A
City q.l.~i\<J- Phonet\4:\~9-ffi/Q.
01lNER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~=------------~~-(C~~Z\~~n~ry-~-=
RECEIPT t: I J \ I \..t -10"'
RECEIVED BY:-.: ~V\V:J}. /
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion "\
thereof ~
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feed~rs
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 3D
$ 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
'$ 40.00
$ 55.00
$ 80.00
voLts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ .2.00 '
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.. SUBTOTAL OF ABOVE 1\'S~O
5% State Surcharge '-~_ f is
TOTAL . /c-:JO . . ),"-.