HomeMy WebLinkAboutPermit Electrical 1993-12-20
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The followi\\9 project as submitted has the following
zoning, and dOGS not require specifIc land use
225 FIFTH STREET approvai. L.f) ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoni"9 _ t)K- 9 '7/
~~~~I~~2~~~r: 7~~~_3769 tljD.\."l::' \'d--;)O-qj> City Job Number 3/~'
. I\\llhorized Signature ~ C 3. r.OMPI.F.TF. FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION c)-J
./6'5'7 L?"rl.4'".o~Lf~' , A.
.
Signatu~f :upe~ng ~ectrician
/~~h~
.. ' / t' ~. / \""1\., 1 ....ll i N _r.Al!.j Branch Circuits
Ollfers Name f~~ \ \It)\.U\.i)\~
, Nell, Alteration or
Address
\ 1~~~IO'(x)\ 0 ~
A JOB DESCRIPTIQN Ir .
'-'(' .(\ l \. C' _ C\ ,--'J~\ l\ \. 1)\ \.. <;L.)
Permits are non-transferable and expire
if lIork is not started IIi thin 180 days
of issuance or if 1I0rk is suspended for
180 days.
2. CONTRACfOR INSTALLATION ONLY
Electrical Contractor,~~~~
Address /6-:57 ,?V'l./'A;>'U;'..4ItC_
Ci ty >' p"P.-e..o
Phone 7~6'~"7..r3
Supervisor Licen?e Number
Expiration Date
Constr Contr. Number
Expiration Date
City
Phone
OVNER INSTALLATION
The installation is being made on
property I Olin IIhich is not intended
for sale, lease or rent.
Owners ~ature:
~~A2-/
iiAT~~=-~~-O:---ttm~C\:::;--
RECEIPT I: 11 _ _ ~ \ ::: ""
RECEIVED B'y:~\)~ 1:: _ J '~, \Y--.../
Nell Residential-Single or
Multi~Family per dwelling unit.
Service Included:
I~ Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dllelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation: ;t~~
200 amps or less $ 50,00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40,00
C,
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less ~t21~ 40.00
201 amps to 400 amps $ 55,00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" above
Extension Per Panel
.J~ 35.00 'QS. c;O
$ 2.00 loci)
One Circuit
Each Additional
Circuit or lIith ServicJ;
or Feeder Permit ,~
E.
Miscellaneous (Service/feeder not included)
-Each installation J~~~
Pump or irrigation /oV~ $ 40.00
Sign/Outline Lighting- $ 40.00
Limited Energy/Res $ 20.00 rGl)
Limited Energy/Comm $ 36.00
<\\ ~ c9D pD
ry 01 l 00
~. "'-, ,0::::::-' ~~ .00
~ l\'V.~
\ rAln.it-
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL