HomeMy WebLinkAboutPermit Electrical 1994-11-22
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Th(.l following project as< slI,_rrHt!eo:,!' '" "" :-:.'''' ,
zoning, and dyes not reqUire specific land U~f3
approvaL
'225 FIFTH STREET 'i l- pf2-- '
SPRINGFIELD, 'OREGON 974 7ron,r,\l
INSPECTION REQUtST: Da~6-3769 !4:=2-2 ~'1 L-(
OFFICE: 726-3759 AuthoriZedSlqnatu'ra ~,,(.;.. _
. - oJ CurfPLETE FEE SCHEDULE BELaY
1.' LOCATION OF INSTALLATION
F72S CC'A \--\-- jc:Lf\ e.. pIa c€-
,\iB~~S~'ION \():)O \
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t'>> ~Ov~S~1JtTtllth '
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Permits are non-transferable and expire
if work is not star~ed 'within 180 days
of issuance or if, work is suspen-ded for
180 days.
2.:' CONTRACTOR INSTALLATION ONLY
Electrical Co~tractor Genl.~ Ele<T
'Address 615<1 f/-a-'tde.o E... R.d
Ci ty SpineL ' , Phon'e 74/-2S'lC
Supervisor License Number .....:?G5<1..S
,Expiration Date' : /o....'-?5
Constr Contr.Number ~ II'IS
Expiration Date
/t--t6JiS
Signature' of ,Supervising Electrician
Ao--ah~ ,'. . ~
Ow~ers, Na,me ~\:\~
Address rl2.,'G~\~\)~
~n;"'~8'1
City
The installation is being made on
prop~rty I own which is not intended
for sale, lease or rent. '
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Owners Signature:
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RECEIPT,' I' L/.JJK.,~ './ Wt~
ItECrnVCD BY, gfr~ ., ,
ELECTRICAL PERMIT APPLICATION
City Job Number
C\4-\3~5
A. New'Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or,less $ 85.00
Each additional 500
sq. ftor ~ortion .
thereof $ 15.00
Each Manuf'd Borne or
Modular Dwelling
Service or Feeder $ 40.00
"
200 amps or'less
201 amps to 400 amps
Over 401 to 600 amps
'Over 600 amps6r 1000
D.
Branch Circuits
New, Al tera ti'on orEx~tension Per Panel
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.. 'Temporary Se.rvices or Feeders
Installation, Alt~r~tion or Relocation
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps t6 .1000 amps
. ,Over 1000 amp.s(vol ts,
Reconnec t Only.
$ 40.00
$ 55.00
$ 80.00
volt~ s~e "B"~bove
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,Orie Circuit I $ 35.00 lOfS
Each Addi tio.nal
Circuit ~rwith Service 'In
or Feeder. Permi t, <--) $ 2.00
E. ,Miscellaneous (Service/feeder
-Each installatiori
Puinp or irrigationH,
Sign/Outline Lighting
~imited Energy/Res'
Limited,Energy/Comm
5. . SUBTOTAL OF ABOVE'
5% State Surcharge
3% AdministraiiveFee
TOTAL
not included)
$40.00
$ 40.00
$ 20.00
, $ 36.U
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