HomeMy WebLinkAboutPermit Electrical 1993-10-22
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The, ioilcwit-ig project as s 0 _' I , ~~,
225 FIFTH STREE:T ., ~~~~ng',.;'nd does not reql,~~;l~~:~ii%~a~~ ~OiiRMB€TRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ov"", , se . 0 ' J (7'7'
INSPECTION REQUEST: 726-3769onin9___b.J) R, 'Ci ty Job Number -,3006.
OFFICE: 726-3759 Dale'lbJ~;:I,J.9.~ Id.-~~~~i1TE FEE SCHEDULE BELOV '
1. LOCATION OF, INSTALtA~ONid Si;Ji].ajura ~ <::: ' .
, ,~/)..; f-kfXW1' S-r '-....Jy !IIew K'e'S'i"dential-Single or
, Hulti~~~mily pe~ d~elling unit.
LEGAL DESCRIPTION Service Included :"
17()33'f:1~ :00600" Items Cost Sum
JOB DESCRIPTION.' /' .
o dr,' ,2~ e.ll'eJ;ds.-r~ ~ 't&vc \
([, ~ .(/.r~ '9
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 B.
Electrical Contractor 'E(4~eged1fC'
13{/), 1
Phone d </ </ - Jsb I
Address fJ 0 ~fj~
Ci ty Euq~~
I
Supervisor License Number ~~
Expiration Date
Constr Contr. Number 902tJo'
Expiration Date ~ -/7 - 9 t '
Signature of Supervising Electrician
fi !J!~ ~-I~~~
Owners Name;:J;.e-1.u s/ri&S.e,1
J " .-
Address ~r&~ Sky /';".e -B/u/
E(UM~ ~hon~t/</- 9313
/
OVNER INSTALLATION
Ci ty
The installation is being made on
property I own which is not intended
for'sale, lease or rent.
Owners Signature:
~~~;~-----j~-~z;L~tl~-----------------
RECEI PT #: of ID to to h
RECEIVED BY: vc,~_ 0
---,
1000 sq. ft. or less
Each additional' 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hbdular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 $ 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 ot with Service
or Feeder Permit db); $ 2.00 tJi
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigatio~
Sign/6utline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
5.
$
$
$
$
44, dO
~;dO
if; , 2P-
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
, ;