HomeMy WebLinkAboutPermit Electrical 1994-9-1
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Thelo\\owlng p<oiect ... sUbm\rt9d has
zoning, end does not require specific I
approval. " If / ELECTRICAL PERMIT ~!,;,.I!;ATION
Zoninn (p '77,.17:> ~
q~/-4t.f City Job Number '~~~'.!;"':r-
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AulhOrizedSignatilrB~'1''' ..".. ("~ULE BELOII
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started 'within 180 days
of issuance or if, work is suspenaed for
180 days.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor //<!/J Lr ,Ct:..;::c., or Relocation:
.
Address
;5' / / /'7/<}.Jf1./
City S" P f/-?
Phone 7.2.C &7C11
Supervisor License Number
3' 1/:2. J-b
Expiration Date cr-c:.r '7 S
Constr Contr. Number 9 ;L. 5"0 1:'
Expiration Date '" C. 7' '7 J
Signature of Supervising Electrician
.A? -7 ',- '-
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Owners Name 80 z:?
Address /0/2, ^~j1
A: //F" q
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City
Phone
01lNER 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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RECEIPTlI: ~ /4fS>C.-:>
RECEIVED BY: /" 4- ~,---:.- .'
DATE:
:J
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
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 40.00
$ 55.00
$ 80.00
see "Bit above
One Circuit / $ 35.00 l')Ov
Each Addi tional
Circuit or with Service e;;?Ot/
or Feeder Permit / $ 2.00
/
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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