HomeMy WebLinkAboutPermit Electrical 1993-12-20
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SPRIN.ELD
The following proJacI os submitted hllOlhe followfng
zoning, and dOllS not require apeclfic land use
225 FIFTH STREET OOl'wva!, . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 i'I\ A "rtl /;) ?
INSPECTION REOUEST: 726-lFf6r1' YV\.\\ 1ft:.. _ '" City Job Number '"?' ~/<)~r,:::,
OFFICE: 726:"3759 Data I'l~~ \d-.- 'd-<"b --.. '5
:s 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INS'l'l'tfJlll\ir;r~gnalure ,5
2012 Scott St., Sprinofield A.
In LElI.AL^ Q!lSCRIPTION ~
.,N."'VJ~:"~A,~ I 0 ^-JCf)
JOB DESCRIPTION
Mnhi 10 I--lnmc ~'3..I:l'..;....0 JL j:"nn~"""T'
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 Roberts & Drurv
Address 2DS N. 9th St., P.O. Box 186
Ci ty Cottaqe Grove 97411hone 5m-QL1?-Ltl'.'I.6
Supervisor License Number 373-S
Expiration Date ItJ/tfl/ q S'-
Constr Contr. Number '520{4
Expiration Date 12/09/93
Signa~~e of Supervising Electrici
~"y""'~ (Q ~
. Ow~ers Nam~ l\~\\ 9 ~/"Q J 'c'{wl\)
Address}A4C\!\ 0~\lorc~.tQ_JM .
city0JU\tlJ\ 1-?%L Phone~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE~~------------17:~~-----------
RECEIPT I: r 1/ ---VOH '/ /
RECEIVED BY: ~./l() J
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
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 g(),~
$ 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
. $ 40,00
$ 55.00
$ 80,00
volts see liB"
D.
Branch Circuits
above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$. 2,00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36,00
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