HomeMy WebLinkAboutPermit Electrical 1993-5-28 (2)
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SPRINGFIELD
I r,Q fCllO'.vi.:g project C3 submrt1eti he..'3 the followini.
::. " ',r~~: ,:l.lld do:c no( roquire ~pcc:i:c land uce
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225 FIFTH STREET Zonino Lp R
SPRINGFIELD, OREGON 97477 ~ /A
INSPECfION REQUEST: 726"'t3769~/_ Jo-It _13
OFFICE: 72'6-3759 AU!horized Signature rL.
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1. LOCATION OF INSTALLATION
~5?54-,.c, /V__,__?tY7A//A7:~ A.
LEGAL DESCRIPTION
/42---,92 -e:S"2. -':2 :::;_~_~
JOB DESCRIPTION
-!/.r~/f-~ / 2>A .&:f~q~-
. 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. CONTRACfOR INSTALLATION ONLY
Electrical Contractor, ~* L,"/ ;:-~'Jv'5
Address-1f?p.~~~'~_'-~r ~ ~
Ci ty . ~ ~~~ Phone.tt;~ 7"??'=:;
Supervisor License Number .~ 'f?S" 5
Expiration Date f 0-)- <1~
Constr Contr. Number dt 0 it! <;
Expiration Date if -//"-'1 L/
Signature of Supervising Electrician
.~ p f~\A/
Owners Name 'j) f P ~;}r_/ ~
Address hhr dAAA~/ OA/
-
Ci ty e::~c.
Phone~ -/75:7
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
. Owners ~ignature:
5'-;::<>g-7 :;>
fKC//
/7-~
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DATE:
RECEIPT f:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q;;?o.::2. S/2
c6Y.,'-~B FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per' dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less ~ S 85.00 1!?5":"'='
~ach additional 500
. sq. ft or portion
thereof t-f S 15.00 ~-
Each Manuf'd Home or
Modular Dwelling
Service or Feeder S 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
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 S 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
S 55.00
S 80.00
see "B" above
D.
Branch Circuits
...
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
s .2.00 .
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE /75:""--
5% State Surcharge :7.~
TOTAL . /?-;:;:.~~
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