HomeMy WebLinkAboutPermit Electrical 1994-2-10
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etJ UNv4~V\Y'\ \~ &i~owing proj!'lct as su.bmltted,~as the fOlio . _
zoning, end does not require speci'olc land use " ,
225 ,FIFTH STREET approvaL ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 ,'.
INSPECTION REQUEST: 726-3769 ZOning
OFFICE: 726-3759 [>,],te. ,,"11t)\ 4'-:/
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1. LOCATION OF INSTALLATI~orized Signature
-C.IAV\OV~.P("~.()V\ o~ ~\yl)^^/\A~ tI.- A.
LEGAL DESCRIPTION PNLScot:L
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Permits are 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~Ovvlt/} Ur-,
J '
Address. 3>lain:J In r j fl11/\ Lkef.o
City Qlicv>~-L )t;.~hone ':1 'J1.o-O~SCf
Supervisor License Number :2, Ll 0.J ~
Expiration Date ) 0- 1- q 5
Constr Contr. Number )< Lj 10 I?}
Expiration Date
J -Ill -CfLf
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)r:i at~.. re of superVising.Electrician '
~~ &~L->
'II ,J.... ,\....)
. Owners Na,me N-/Lt, ,~ ()AP~
, Address \ leD 'vY\n_,.f; c:::. nV\
City C( A A ~.. () P- Phone
OVNER tRSTALLATION
The installatiori is beirig made on
property I own which is not intended
for sale, lease or rent. .
Owners Signature:
~ATE~----------~};~f~~---------------
RECEIPT #: iltol (
RECEIVED BY: \D9-,
City Job Nlimb~r
ClLfO ic;;:u '
3.
COMPLETE FEE ,SCHEDULE BELOV
New Residential-Single or
Multi-Family per d~elling unit.
Service Included~
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ' ,
Each Manufid Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Services or,Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps t6 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 5060
$ 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 t9 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
New, Alteration or Extension Per Panel
One Circuit
Each Additiorial
Circuit or with Ser~ice
or Feeder Pe,rmi t
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
'-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Enetgy/Res
Limited Energy/Comm
not included)
5,.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
c;OOO
.:) "5 0
QSO
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '