HomeMy WebLinkAboutPermit Electrical 1993-9-16
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The fol1Q\v\no pro ~ ., '. , d
zoning, u;,d ~loes' n<:t .re~u!re specific !&n use
approval. . \
225 FIFTH STREET Zonino \J)Q/
SPRINGFIELD, OREGON 97477 /J (,' '
INSPECTION REOUEST: 7269a'l.6.Q VI 'lIQ "1~ II.. t--./
OFFICE: 726-3759 Authorized Slllnatur.J~Vv c -
. j. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF IN~j\LLATION
I-fy I ~C()tIS C:lpv-. A.
City Job Number
ELECTRICAL PERKIT APPLICATION
C\3\4! ~
-
New Residential-Single or
Multi-Family per dwelling
\003Q 1/ ~ \Q) Service Included: Items
LEGAL DESCRII?:.ION'
4 C(-l c::; C" ,,-1k;- co I.JV-..;-
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JOB DESCRIPTION
I~l- ,v"'""--f
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
Elec~rical contractor~~ ~~<-
Address (,0 I fl;,rt--
City -s(- LL Phone 7 <f-{ -o'10-S:-
Supervisor License Number 30bG~)
Expiration Date 1c('L- '1(9(.(
Constr Contr. Number' rJJ 7~f,(\
Expiration Date /(j /'1.. YI"ilf
Sign~~pe~ng Electrician
.. ~ O')L
, ~w~ers Name 'Bnvv 1 ') v\g.~.s
Address
City
Phone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----~-~------L1'~7(;;~~~-----
RECEIPT I: . I{ );.,/ylf1
RECEIVED' BY: :.. &J~J '
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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 '1900 volts
D.. Branch Circuits ~
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit l
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
S6
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00 ~
$ 36.00'
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