HomeMy WebLinkAboutPermit Electrical 1993-8-27 (2)
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SPRINGFIELD
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225 ,FIFTH STREET ,Z ' ,''-1 Jt\(J ~ ,.....c, .,<1 uco ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 onm9_v-JW:::::..... n () r\r"'\
INSPECTION REQUEST: I f26:"37~_<? 'Z{".2f~ - City Job Number ~\.=J. \DLA. }
OFFICE: 726-3759 A~o' --- / i
1. ',"';04TIoo or ""T~t'T:-/IJ"~ ro'""", /'" SC",oo", "''''''
'-t",""" \ Q '=::l,-('i~~~ n) A. New-Res1dential-Single or
, ~ Multi-Family per dwelling unit.
\~?~!f\ON () X t'f.) Service Included: Items Cost
((\I~ DESClAPTION ' . L
\U\O . \.' t \.0~~q X. )
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.. CONTRACT<lIl mST~OJI OHLT
Ele~trical Contrac or (b tt1 /V ..)
Address ~ n(0210 o~(\ n C~ ~O S
Ci ty ~\.rt . p:o~e', ~-\n. () ~
Supervisor Licen.se Number ;2/\-q&j
~tJ,\Cls
Constr Contr. Number <t7tlAi,O(
Expiration Date f\. \ 4 .Q4
Expiration Date
Sign~re of Supervising Electrician .
'\,NJ,w..~r-, D'
~ers Nam~ \Q YY"\~ ~l +(\~ .
Address 4o~ ~ \j~h"f'8.I~ l fLJ
City ~ 0 rl gfIone ---
OVNER ~S~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ .~ ~~jJRfY~'~;;~~-----
RECEIVED : \ u......../
I "
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00
$ 15.00
S 40.00
B.
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
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
S 80.00
see unit above
Branch Circuits
New, Alteration or Extension Per Panel
-L
<..~~
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40,00
$ 20.00
$3~
C3~.'
] , 'l-"
,~ to .' C:L
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL