HomeMy WebLinkAboutPermit Electrical 1993-7-13
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SPRINGFIELD
Th. following project 1I8 submitted has the foU
Z~)( "''.': :'.ll1d does not require specific land Li
app[.,;'.;al. .
225 FIFTH STREET ,CtIJ~
SPRINGFIELD, OREGON 97477 ZOnin9-..,J.&r
INSPECTION REQUEST: 726-37~~o -1-l7J .c1'7
OFFICE: 726-3759
Authorized Signature
1. LOCATION pF INSTALLATION
~112 ;:b.~.
ELECTRICAL PERHITAPPLICATION
Ci ty Job Number ~ 'Y
~r~D,vTv iEE-SCHEDULE BELOV
LEGAL DESCRIPTION
1"?~.":;,-:25-/~ A>~~
o JOB DESCRIPTION ~ J '+0 ...
l."rtJ\..J, r(\'~II\r{\o.{IO \ IL(lNVl~
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$POor1:il.w \~.
Address P.(). 6"', 142-;)",,>
. '
Cit~~ Phone'74/-1-.1-.3b
Supervisor L~~en.se Number I b g b <'S
ID-I-QS
O~8'4q
IO-I-QS
Expiration Date
Constr Contr. Number
Expiration Date
I~:;;~~~;?ician
~:e:s Name r\1mJ ~J
Address t /I ~ :J.;i\J:h J ..ill: .
CitY~i\.lmw~~ri., Phone '74b-1'7M
OVNER IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 7-,/3-93
RECEIPT .: _ .q 7' fie :z..
RECEIVED BY: ~~_.
r
A.
New Residential-Single or
Multi-Family per .dwelling uni t.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
5.. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 50.00
$ 60.00
$100.00
$130.00,
$300.00'
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
volts
"$ 40.00
$ 55.00
$ 80.00
see liB"
above
Services or Feed~rs
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
Do. Branch Circui ts
./
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ---L-
$ 35.00 . .Q5'.OO
$ . 2.00. {J...OO
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
31,00
I. ~"
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