HomeMy WebLinkAboutPermit Electrical 1994-5-9
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 lectas submlttadhas the fo!lowing ad / r' 7
INSPECTION REQUEST: 726-37 6~1~~~":~~~~~~ notrequlre spdcci'fysJob Number - t' T () (p .:>
OFFICE: 726-3759 approval.
Zoninn LV rC"JlllETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION 5-'1-44
/f'3~ s 'A ,. ,s-lTI't"r;;ole . All ~i!v Residential-Single or
AUlhorizadSignalureJ"' ~lii-I'""uj,J.Y per dvelling uni to
LEGAL DESCRIPTION Service Included:
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JOB DESCRIPTION
insfall C/lJ2Jf:..(() S<<:..urAy
Permits are non-transferable and expire
if york is not started 'Within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor^C)l>ni.+r7J1 ~<)KI.udy
Address P () ~ dJ()()q
Ci ty ?; JC:?1..n ~ .
()
Supervisor License
Phone.!!/c I-.F)t, 7'J
Number /7/3 :T05
Expiration Date
/~- / - 5?c.
Constr Contr. Number ~5/'-Iq
Expiration Da.t.e
(,;,-;;);:{- qe"
Signat~e of Supervising Electrician
(L.-~_ ~__~/ZL./-
I
Ovners Name f2M/lOJJ.N~) ~,r 5GYilL
Address
City Phone 7~/-7!-'r3
OYNER INSTALLATION
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
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DATE:
RECEIPT #:
RECEIVED ny:
1000 sq.ft. or less
Each additional 500
sq. ft or port ion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
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 "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or 'With Service
or Feeder Permit
$ 35.00
$ 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 I $ 36.00 ,~(~IPJ
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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