HomeMy WebLinkAboutPermit Electrical 1993-12-20
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SPRINGFIELD
225 FIFTH STREET ZOr"llrg, ar:~ '~':'''''!.', ..11C.l'Jjf~ S:...:-=..i"l( l<~llo::' '.,C
SPRINGFIELD, OREGON c917~7'7 l 'i"\ n
INSPECTION REQUEST: 726L:rl,,~~__,_~_K_,__ , City Job Number
OFFICE: 726-3759 D.to__~1~152 \ d- - dO).'ctdHPLETE FEE SCHEDULE BELOV
1. ,LOCATION OF INS~,~!Or,t>lneture ~, '
//)( Pq "'KA.'n h'H,' 'f'F, -: j )--~NeW Kesidential-Single or
~ , Multi-Family per dwelling unit.
I~I~~(]() Service Included: Items Cost Sum
, JOB ,.llESCRlPTION
'. (jD1') {.J11...1 fl, (YIohf' I'nmh,'/7I1+:on"t hMh:V"'
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 ContractorUSr:~.
Address_D. n 7>:-.AL J49..!l.-
CitY~I';I1~ b'~ nrl_ PhoneJ4J -'!)':JL3~
Supervisor Licen?e Number J{o~(n~
Expiration Date
I D - /- '15
Constr Contr., Number()?, <)Z..Jq
Expiration Date q- l-Q'-l
Signature of Supervising Electrician
/2.fL 6"/"3z:
<....,....-'''<-- . v
Owners Name ~ J (')/1 A-1Yi "
Address /:Jlo~~;nY'>>fL1 ()f',
City=tx';~cJr\ Phone 7~/- <j~(15
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------Jr'r r' ~ -- ----
DATE: ~ IU'/\.~ 'Lf~
RECEIPT I: r+----. V Vlb! 0' "")
RECEIVED BY:, ;:--1\1 L \n J
~) -.
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less -L $ 50.00 .9:),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 liB"
above
D.
Branch Circuits
New, Alteration or Extension Per p'anel
'One Circui t
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00
$ 2.00 </.M
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
-&(. (Y)
_? 70.
5/1'l17(j