HomeMy WebLinkAboutPermit Electrical 1993-1-26
.. . ct as submittad h30 the toll owing
The,f- Ing ~~~J~ot roquire specific land use
225 FrITH STREET zOnln~. "nd d. ELECTRICAL
app,oval. I t?
SPRINGFIELD, OREGON 97477 ~~
INSPECTION REQUEST: 726-3769 Zonlr.~ C.i"? ' Ci ty Job Number
OFFICE: 726-3759 O"te_~G. ~ (...J
, .~ '-ed Signature <..<. 3 .
1. LOCATION OF INSTALLATI~NonL
/ ~tA P,'o~r p/(u/. FIH/ A.
LEGAL DESCRIPTION
~?-t'?J-2~-2"=3 b/~'t:>
,
JOB DESCRIPTION
l""..-r",1 / $"~u"~ryJ~/<T-<"....._
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor St"l" .:71--",1 ",.f!E~",,,"c:-
Address 10 /J~'C '7..ldlcJt1'
Ci ty P"Ub"__~
,
Phone 7'If:C"t;:./Y'/.f
Supervisor License Number .5 7 ;eGT
Expiration Date /~ /93
Cons t r Con t r. Number (/,"l/ l./ OJ
Expiration Date
(,,-7-7- q~
Signature
t4::-
of Supervising Electrician
~~
Ovners Name (lA~,"/~.od./,...,...""
J
Address / ~t.,tl p;"o~o!v- P IG.-o, E-ifS/
C i t y 5/Jr}"1' f{. .Jl
OIINER INSTALLATION
7;, C. -[, Cf'?~
Phone
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
I~P~
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COMPI"T" ""~ SCIffiDULE BELOI/
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
uni t.
Cost
Sum
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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 OP ABOVE
5% State Surcharge
TOTAL
"3 <P. 190
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