HomeMy WebLinkAboutPermit Electrical 1993-4-2 (4)
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SPRINGFIELD
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225 FIFTH STREET . r\ ~rc';"'cl 0,': ":liJbt"1"'P:!':'~'::I'~d ,ISi::
SPRINGFIELD, OREGON:h9,~9;t~~,~(-, "\p"''- - ': ,'. ,
INSPECTION REOUEST:zon7'26'::"'3769,
OFFICE: 726-3759 a?prvJ~!~ . r; ---v{"--
1. LOCATION OF INSTALLA;;~~Y' 3.
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c:G~~"lH~~~-,.~, r-~{-,,,t\\;e- ft.. New Residential-Single or
,I" " / ~uthOnzeJ:";;' " Mul ti-Family per 'dwelling uni to
LEGAL DESCRIPTION Service Included:
~.~~-~~...-- ~
JOB DES~ION
'~~~ '4'tF CZ'-:c7"~
Permits are non-transferable and expire
if work is not started within 180 days
of issuaric~ or if work is suspehd~d for
180 days.
2. CONTRACTOR INSTALLATION ONLY
B.
"
Electrical Contractor~Q~ td..Qc?; /"..,L.
Address f/;;J- -.3 >-,,;2 ~c.-/cu-,,-~cr /7C<.-/
City ,P:?/Cr,...C;,P/'tS'L-.i) Phone~~-;r?~
Supervisor License Number /~I 5
Expiration Date /0 -'7:3
.1
ELECTRICAL PERMIT 'APPLICATION
Ci ty Job Number 9:503.5'7
COHPLETE FEE SCHEDULE BELOV
-
Items
Cost
Sum
100.0. sq.ft. or less
Each additional 50.0.
sq. ft or portion
thereof' ,
Each Manuf'd Home or
Modular Dwelling
Service or'Feeder
$ 85,0.0.
$ 15.0.0.
/
$ 40.,0.0.
&/ d7.'o (/
Services or Feeders
Installation, Alterations
or Relocation:
20.0. amps or less
20.1 amps to 40.0. amps
40.1 amps to 60.0. amps
60.1 amps to 10.0.0. amps
Over 10.0.0. amps/volts
Reconnect Only
$ 50,00
$ 60.,0.0.
$10.0..0.0.
$130..0.0.
$30.0.,0.0.
$ 40..0.0.
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
" ,
Cons t r Con tr. Number ;:po-;; 7...;:z....
Expiration Date /~~? '3
-
Signj2e o~s ervising Electrician
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C/ - - - .
Owners Name ~.;er 5~c..~A>
,
2DD'amps or less
20.1 amps to 40.0. amps
Over 40.1 to 60.0. amps
Over 60.0. amps or 10.0.0. volts
$ 40..0.0.
$ 55.0.0.
$ 80..0.0.
see "B" above
D. Branch Circuits
~
V'
Address
Ci ty.
'Phone
,
OVNER INSTALLATION
The installa~io~ is ~eirtg made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:, ~-~ ~...~;::>
~RECEIPT I: '--? ?~9z......
~ RECEIVED BY: /' /~-..
~ ~,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.0.0.
$ .2.0.0. .
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limite~ Energy/CQmm
40..0.0.
40..0.0.
20..0.0.
36.0.0.
not included)
5..' SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$
$
$
$
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