HomeMy WebLinkAboutPermit Electrical 1993-12-20
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SPRINGFIELD
The jollowl~(j "tolae! as uubmi:led has the follow!ng
zoning, and 'joes not require specific land use
225 FIFTH! STREET approval. J D ~ ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 . h .
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INSPECTION REQUEST: 726-3'b~ "a-, City Job Number 7 7/ '3 C;--~
OFFICE: 726-3759 Dete IDbQ\~ 1'd--cJC)- (...7
1. LOCATION OF INSTAI!tl~ Signaturo_S 5 3. COHPLETE FEE SCHEDULE BELOW
/,50'7 Qw"..'ALr A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
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JOB DE~CRlPTION
/(X) I'tM/.l Q-c-u fo S~OO
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
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Electrical Contractor 15to/lllt:Gn.tLGu'2/C
/
Address :'i'U:~ Litt.X.K~ iG1>
Ci ty ?u.\:.,...<2-.U> Phone M~J- 17&-~
Supervisor Licen_se Number 38-03 S
Expiration Date oh(hJ-
Constr Contr. Number 7l"'j)'t"-
Expiration Date /aI3/9'?'
Signature of Supervising Electrician
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Owners Name t?/r~ '<)~f+i
Address /307 LfUH/..../1
CitY~.aA(r~ Ii Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: /tD _':<>cS"",? "3"
RECEIPT I: /~9
RECEIVED BY: (~ '~~ I .
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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
$ 50.00 5e:A--
$ 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 "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service /
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"8: oC)
5% State Surcharge 2_~~
TOTAL ' ~.~