HomeMy WebLinkAboutPermit Electrical 1993-7-6
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SPRINGFIELD
225 FIFTH STREET - t...-Oe...-
SPRINGFIELD, OREGON 97477 C.l.,. . .----.- --
INSPECTION REQUEST: n~3769 '71~l~y~
OFFICE: 726-3759 Authorizod Sion~iur~ \":\p,, ~
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1. LOCATION OF INSTALLATION
.1.:~Q, 7 O.."J..nr. {)v.
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LEGAL DESCRIPTION
1?-63 ~?~~t'/ ~&>.2~
JOB DESCRIPTION
l'H.~ Sf;MtCE 7lIM-ll: r 7J{ efU 8LU>(?
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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.
Electrical Contractor .J.lJt:ls.iltus.ld' 1ffr,. /I/C.
Add ress "1/ /, 5,; 1)'2 nd ('I
citysprrJ?d;.,rt Phone.21? ~",g-t..
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Supervisor Licen~e Number s7 :':1"'- S
Expiration Date 10 ~(- 4-'i
Constr Contr. Number ').0 - :5 05' - C
Expiration Date/O~ 1- 9?J
Signature, of supe~~ing Electrician
%_-1a~,,~
c&wners Name (!J2l4};7\ ~l~~
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Address ? 3-;, 1 ~J DJ?
City f(J7~;.I,;j Phone 7').{, -{} Ij~l
OVNBR INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: 7....-.s:?~
RECEIPT ':~7
RECEIVED B: ;::;';;! ..:::t. .-
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ELECTRICAL PERMIT APPLICATION
City Job Number ~~/L5
COKPLETg-FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
i~ $ 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 tlB"
above
volts
D. Branch Circuits
New, Alteration or Extension Per Panel
. One Ci rcui t
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 7~ 0-
5% State Surcharge -~ ~
TOTAL ~ -0