HomeMy WebLinkAboutPermit Electrical 1994-5-4
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225 PXFTH STREET ~ -: CV ._ ..'_____ ELECTR1CAL, PERMIT APP~~ON /;.
SPRINGFIELD, OREGON?7477' ~! ~~l/
INSPECTION REQUEST: . 726-3769 S - L-f r '1'1 Ci ty Job Number . -Y-:-J
OFFICE: 726-3759 ,-",c 1J IV\. .
..-, ,",," ,,:, " '3'~- -cOHPLotoJ..t. FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION 161vo
b~S w e..EN.T~AYA/IAL~ A. New Residential-Single or
, ' 1'7/"'5/1 nL.3^<::: Hulti-,Famlly per di"relling unit.
LEGAL DESCRIPTION l) eX / LAJXrh~erviee IncludQd:
Q E NTc.NIV/AL p/oc.,ue,e GIJLUER./L.:- ----0 Items Cost Sum
JOB DESCRIPTION ~; 14" n ~ 1000 sq.ft. or less $ 85.00
U,(l..<. /l t.vJ Ea~h additional 500
I sq. ft or portion
. I
Permits are non-tr~ferable and expire thereof $ 15.00
if vork is not started1vithin 180 days Each Hanuf'd Home or
of issuance or if work is suspended for Hodular Dwelling ~. .
180 days. .. Serv.ice or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
L./--I, )1l'J~Rt5 EIt!J- Installation, Alterations
Electrical Contractor or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Address 4g1 Sf/CLLIL~ t;iR,
City t;J?ptJ Phone 747-0f;/f
I
i
Supervisor Licen.se Number ~~C, S
Expiration Date
Constr Contr. Number Of<l2>(("
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
c. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expi'ration Date 101 r / t1"S
, - ,I .
~[u:e~~ng El.<trician ,~'
· Ovn.rsG...... \ '{\ }.., \' ~ ~ .\\~(r Q\( D.
Address \Qq S J", ~ f\ N.ctJ.
Clcy .' ,hOn. tt-b ~
LATIat'
$ 40.00
$ 55.00
S BO.OO
see "B"
200 amps or less
201 amps to 400 amps
Over ~Ol to 600 amps
Over 600 amps, or 1000 volts
above
Branch Circuits
Nev, Alteration or Extension Per Panel
~, '
~ne Circuit $ 35.00
Each Additional'
Circuit or vith Service,
or Feeder Pe,imi,t$ 2.00
The. installation is being made on E. Hiscellaneous (Service/feeder not included)
property X ovn vhich is not intended -Each installation
for sale, lease or rent. Pump or irrigation $ 40.00
I Sfgn/O,utlin,e Lighting $ 40.00
! L,illited Energy/Res ,$ 20.00
Limited Energy/Comm $ 36.00
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RECEIvED BY: ,) )1-oL' ^_) ,lip c\; 5\V;'\.I'Q-~\O ~ S}~L>
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Owners Signature: