HomeMy WebLinkAboutPermit Electrical 1993-10-6
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Zonin9
INSPECTION REQUEST: 726-376~ate \D-\o~?J~ Ci ty Job Number 7~6&??
OFFICE: 726-3759
Authorized Signatur _ _ GGH::'LnTJ: Flit' .~\'nr.DULE BELOY
1. LOCATION OF INSTALLATION
~l~ ~JO~~ A. New Residential-Single or
Multi-Family p~r dwelling unit.
LEGAL DESCRIPTION, Servic'e Included: '
J?-c:73-~<r-.23' ~6~ Items! Cost Sum
JOB DESCRIPT"J:ON
2CJlJ;4. 0Jc.-;e{/ IcE
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor ~Efi/E ~c:... Relocation:
Address IUJ p1~Ne;;E
Ci ty €lIIJo./E
Phone 31-'/-- '$ 5]:,1
Supervisor License Number / tJq,- 5
Expiration Date
Constr Contr. NumberqO'J.VO
Expiration Date ?.:-/?..~~
, ,
Signature of Supervising Electrician
A~~~
\ D.
Owners Name Jf~~ -7"r~~~~T~
, Address d4?6 !J~\'~i\O)
City ~ _ Ph~)e M-~~
~~
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
'Owners Signa ture:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
106-93
/.o~98
/'7~...
'2
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
.---
?~.~
$ 50.00
$ 60.00
$100 . 00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installati~n, Alteration or Relocation
200 amps or less
201 amps to 400 amps
~ver 401 to 600 amps
Over 600 amps ~r 1000 volts
$-"40.00
$ 55.00
$ 80.00
see "B"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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
-$"" ~ __0.
;z .-:;S- t:?
152 _ "';)0