HomeMy WebLinkAboutPermit Electrical 1993-12-20
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225 FIFTH STREET, 7.:)("\\("\g, ~J',d '.N - /f / " ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747'~P\'OY'3.. ~ '
INSPECTION REQUEST: 726-3769200\"9- 1"'\, ~ -93 Ci ty Job Number ~? / 7Y-=3
OFFICE: . 726-3759 " '~ll It;?___~ ~v -' ,
_ o"",e__J..-- .....,(""""~E SCHEDULE BELOY
1. LOCATION OF IN, STALLA}.;~r;csd Si8\,,,,~uie""UJ,.. _ .,
53 3 ~ 5: ~ A. New Residential-Single or
. Multi~Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
J? ~,!J-'2.,;;;-~'2~ ~t:::> Y Items Cost Sum
. r
JOB DESCRIPTION " '2 ____' , #'
JAfirv~ ~ .:~G ,!Jl.A.-r ...
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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
Electrical Contractor~.qk.~'eL.rC / '
Address 1/;) 5;;-;?- /'-'7'c./c:(;,.-<-;;Z/ c' //"-=<-/
/
Ci ty ~~ PhoneJ'/?-:::>9'Y /-
Supervisor License Number ~~~~~
Expiration Date /0 - 7:S-
Constr Contr. Number_ ~~~~~
Expiration Date /c:? ..:-9C.( ,
-G
.. ... .
Signat0 of s~ervisi:g_Electrician
4/~ ~~
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Owners Name
Address
City Phone
OYNER INSTALLATION
The installation is being made on '
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: /2 .../....~'3
RECEIPT #: "II ~ ~~
RECEIVED BY:' .~ ",
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
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
S 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
$80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 ~
Each Additional
Circuit or with Ser~ice
'or Feeder Permi t -L $ 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
5% 'State Surcharge
TOTAL
3.:/. 6~
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