HomeMy WebLinkAboutPermit Electrical 1994-6-13
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The following project a. sUbmitted has tho followln
ZOning, and does not requIre specific ~nd use
approval
225 FIFTH STREET Zonlna (lU
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 72(lollliQ" -1~.:;...C,'f
OFFICE: 726-3759 ~~yltl<>JIZjlp.s11 at P 'r:--
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1. LOCATION OF INSTALLATIOJil '/
j,()C;sl- /~4j,L. _~S I'd e.. A.
LEGAL DESCRIFTION
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JOB DESCRIPTION;""') l-
f ........:i' 0 19 f? V.5 ,n..JLr-' -
Perm1ts are non-transferable and exp1re
1f ~ork 1S not started ~lth1n 180 days
of 1ssuance or 1f ~ork 1S suspended for
180 days
B.
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2. CONTRACTOR INSTALLATION ONLY
Electncal ContractoJG,)y VIew
. J
Address.-i~ i 6 #1tt1;"cu.J i;.d
C1 ty E...uq. Phone" t/ . f L7 z.--
/
SuperVlsor L1cense Number ? J 9<1 S
Expnatlon Date /It -/- '1'.5-
ELECTRICAL PERMIT APPLICATION
C1ty Job Number
.::;7<;/ tP~ '77:>
:;:;UFb:7~ PEE SCHEDULE BELOV
New Res1dent1al-S1ngle or
Mult1-Fam1ly per d~ell1ng un1t
SerV1ce Included:
Sum
Items Cost
1000 sq.ft. or less $ 85.00
Each add1t1onal 500
sq ft or portlon
thereof $ 15 00
Each Manuf'd Home or
Modular D~ell1ng
Serv1ce or Feeder $ 40 00
SerV1ces or Feeders
Installat1on, Alterat10ns
or Relocat1on
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
S 60 00
$100.00
$130.00
$300 00
$ 40 00
Constr Contr Number 20 -//0 0
C. Temporary Serv1ces or Feeders
Installat1on, Alterat10n or Relocat1on
Expnatlon Date
)0-1-9../
S1gnature of Superv1s1ng Electr1c1an
W~ Q/7~
. . ,- V \
O~ners Name 5lfJ.f-d /~ ~K s
.
Address / 7&/ Ce4/';:e.v.-v/~Ld'v
C1 ty Sf'+- d. Phone
OVNER INSTALLATION
The 1nstallat1on 1S be1ng made on
property I o~n ~h1Ch 1S not 1ntended
for sale. lease or rent
Owners Slgnature'
---------------------------------------
DATE
RECEIPT jI'
RECEIVED BY:
t:,-q- "7V
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, /f'V
.
~
200 amps or le~s
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch C1rcu1ts
$ 40.00
$ 55.00
$ 80 00
see liB" above
Ne~, Alterat10n or Extens10n Per Panel
One C1rcu1t
Each Add1 tlOnal
C1rcu1t or ~lth Serv1ce
or Feeder Perm t --;;; $
~
M1scellaneous (Serv1ce/feeder
-Each 1nstallat1on
Pump or 1rr1gat1on
Slgn/Outl1ne L1ght1ng
L1m1ted Energy/Res
L1m1ted Energy/Comm
E
5
SUBTOTAL OF ABOVE
5% State Surcharge
3% Adm1n1strat1ve Fee
TOTAL
.--- $ 35 00
~
6
2.00
not 1ncluded)
$
$
$
$
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QY"2R
40 00
40 00
20 00
36 00