HomeMy WebLinkAboutPermit Electrical 1993-4-2 (3)
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SP..FIELD
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Th~, following project as submitted has the following
zoning, and docs not roquiro specific land usa
approval. '
2. CONTRACTOR INSTALLATION ONLY ....-B. Services or Feeders
. f\r\('\ /I' \' p.. ..L> p ',\Installation, Alterations
Electrical Contractor) IIU ~ Ll..'t1.o ~or Relocation:
Address wn ~ l t I 200 amps or less
I .\\~--tH""": r, (\~l LI'T':ldO 201 amps to 400 amps
CitY~""'{UU\OJL1)C'Q..Phone I 1-u:J"\\.JUJ 401 amps to 600 amps
~ --::<n I _c 601 amps to' 1000 amps,
Supervisor License Number VU--\~ Over' 1000 amps/vol ts
. l ~. \. O,C- ., Reconn~c t Only
Expira tion Da te U - -\...... ")
Constr Contr. Number Co C::::l:.::f:5)
~. \'3 .q~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477 Zoninp I.DIl
712.6:.3769 Lk2-73
Authorized Signature JR# 1.
1. ~ J{~~g~f~TIO~B I
l1D~:-l~
rz:DO
~O~ErTnJON 7
Permits ar~on-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
'-'
.
Signature of Supervising Electrician
~j/ ((!2~
Owners Name'-. ry) n +;
,
Address <5.. ~'"=b I
City S()f1d-Phoner+{~4qFJ
OVNER I~STALLATION
The installatiori is beirig made on
property I own which is not intended
for sale, l~ase or rent.
Ovners Signature:
DATE~------~-\~~~---~~----i--
RECEIPT .: ,p,., ~ . \ I~
RECEIVED BY: ~~../ .
A.
ELECTRICAL PERMIT APPLICATION
City Job Number Q30/QQ
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Se'rvice Included:
Items C~st
Sum
1000 sq:ft. or less
~Each additional 500
. sq, ft, or portion
thereof
Each Manuf1d Home or
Modular Dwelling
Service or Feeder
S 85.00
S 15.00
(
S 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
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 40.00
$ 55;00
$ 80.00
see "B"
above
volts
D.
Branch Circuits,
New, Alteration or Extension Per Panel
One Circui~
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
.~~g:"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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