HomeMy WebLinkAboutPermit Electrical 1994-1-21
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225 .FIFTH STREET ~li1it;!J\J,mnl11Ll:.!oos'r.llf\t.te~:~~JiA\1'Sp('x;}li6lf'RI$c;rRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 &jtlj5liW.'J:~.l.. . ~.
INSPECTION REQUEST: 726-3769 6.CrdN:Jft .... Ci ty Job' Nlimber Q4tfJ4.'7;
OFFICE: . 726-3759 . ',. ..' '\'\' I-~U'~~--'='''-'''----
_ . L~Ii).__.. _UUL..!::l, 3"14 COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION1i'>fI"";~,,.~1 <::1.,.:...."'."'1'-0 r.. ;
. 6~J (>~sr (). rla _ ,-,C). ''''..~,'''' '" 1:J"'''u, ~A~ 'l~e'Ww.lte'S1."6'errff~l-Single or
, Mul ti-Family pe'r dwelling uni t.
Service Included:
LEGAL AE~P'Q:OR . 'h..r>/'1
I rJ (~'~ '.=5 '{ \' d-. CQuLQJ
~JOB_~CRIP:JiIQN . ^.,-:JQ..Qt?T
____) \;. V Q Dx-'\ 0 f\fC'cL c-.J:::X--L)
Permits ~re non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY'
{Electrical Contractor/1i.J.J er cite. ,l'1c.
Address& ~ -:J.../ ~ P Q r$ I?d .
City~~e ~e Phone9~- ~/,~
Supervisor Licen.se Number /;,5"0 K - ~,
Expiration Date 10 /, /95""
, ,
Constr Contr. Number 7 3 51 r
Expiration Date
6/1 J /9'/'
- '
'" .'
Signature of Supervising Electrician
6~~~~'
.. Owners Name~V){P\\esb0\-
.~ J
'Fsr
Address ((~q7j) n
Ci ty ~f-rb
Phone '7 Lj-'7- 't3?f7
.-
OVNER INSTALLATION
The installatiori isbeirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~------7:~1*--~~-'--~-r;:.~ .
RECEIPT i: v-J/ ( ."' \\ ,~, "'I u \
RECEIVED BY: t::7)~ j .-.t -
Items Cost Sum
1000 sq~ft.or less I- $ 85.00 8s
Each additional 500
sq. ft or. pordon ~, +s
thereof. $ 1'5.00
.Each'Manuf'd Home or -
Modular Dwelling
Service or Feeder $ 40.00
B.
Services o~ Feeders
Insiallatfon, Alterations
or Relocation:
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~r'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
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5%St<'lte Sur-charge
TOTAL
$ 40.00 40
$ 55.00
$ 80.00
see "B" above
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
I?() .00
ps ,<:'f)
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