HomeMy WebLinkAboutPermit Electrical 1994-6-23
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225 FIFTH' STREET "tonlng /4.00 ELECTRICAL PERMIT AP~C ION~'
SPRINGFIELD, OREGON 97477 _ c, . '. (' f -' .'
INSPECTION REQUEST: 726~Q' (p 'Z 3-:. t (/ ' Cl ty' Job Number '\C)
OFFICE: 726-3759 AuthortzedSlgnature fJ.M-., -, '
, .. ", q' ' " " , r \"UI'11'tJSus n:.is SCHEDULE BELOY
',1. JLl'~_'~~ qf\_;m. Sl'~~T,}9 '_ N) " v\ f)/) , I A.
~ l 'V I A ~ (~~ New Residential-Single or
Multi-Family per dwelling unit. '
, 10~~~~ION ()qtJi) ,Service Included:
- -
MB DffiDJJ~~"
2. CONTRACT, OR INST~IO,N e.ji' B. Servl'ces ,or Feeders
.' I, ""llIre, . ...J.Lnstallation, Alterations
Electri~l cOr\r~c\t.g,!? ~U' ......" lWL L.U(Aor Relocation:
Addre$sV8 DOX., (lJ. '_ 200 amps or less '
j C '..I-:- . 'r rlf,/ ""'Jr)(1.l1 201 amps to 400 amps
Ci tvn' } J 1 j) Phone "'-l a~._JJ J 401 amps to 600 amps
/1" ~ 601 amps to 1000 amps
Supe' sor Li~se Number Over 1000 amps/volts
. 0 d 'Reconnec t Only
Expiration Date l . . ~
, " t7ri\f\ ~C
ConstrContr. Number~~~ .
Expiration 0 e ~.,~~~~
/)Si~tU7~trician ..
~J _~ ~,
J o~ne~N:meri '~_(\ ~ 0..- ~ ' D. Branch Circui ts
\\ T),''II " r; .rt".A-Jr... New, Alteration or
Address' ~l\O I ~(Jr ~
Ci ty ce 1. 8
Permits are non-transferable and expire
if work is not started within 180 days
of is~uance or if work is suspended for
180 days.
ne
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~::~:-,:~----7~if;~'0J1;:,-~
RECElVED.B : 'JIJ-U I.j-~
, '
,1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof '
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
One Circuit
Each Additional
Circuit or with ,servicn
or 'Feeder Permit -J-
Extension Per Panel
\ $ 35.00 ,~'6~
$ 2:00 /fJ.CO
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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