HomeMy WebLinkAboutPermit Electrical 1994-5-13
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S'-"INGFIELD
The following project as submitt~r:l hp.... tho io! oWlr
zoning. 'and does not require .::~ ..' " ...~..-: use
. approval, .
225 FIFTH STREET l,;D f2. ELECTRICAL PERHIT APPLICATION
SPRINGY.IELD, OREGON 97477 ' ,Zonina q A()"::l21
INSPECTION REQUEST: 726~3'76l)~-11,-q4o( City Job Number ,\ I..J 0
OFI'!CE: 726-3759 P.ulharized Signature tV. M
, - .>. l.onrJ..l'.1r. Plffi scnEDULE BELOII
1; A-P(:Ar~N A.F INSTALLATION I.... J _
~.:"Jb' , \.'<l<i"-"-Ou.O. ~ A. New Residential-Single or
. - Multi-Family per dwelling unit.
Service Included:
\.fA':~~IOh4\OO
~~~~~n~ _~ (\I) \ rnrt
Permits are n~transfer:ble an~~
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. .,CONTRACTOR INSTALLATION ONLY
. ,
Electrical Contractor H'PKrrA(lF_ELEC:r:
. r!;~2. ~ rY-, .
\,1-" - Y'WT I'
Address a. ,,~ t:... ", ~ ,'\1. E.-
City P.I.I (,\r...A\1 F_ Phone
7Z--Q - 1.500
CP-\"i. <; "89-1&'0
Supervisor License Number
Expiration Date
lo.-[-q<'-'j
Constr Contr. Number (03\::')/
Expiration Date 12.-2,.'1.:>
Signature of Supervising Electrician
~tJ,~
.. Owners Nam ,. rL A ~..
, AddresJJfl , ~\ A4.'1U
City 3\i'l\f'<:\LUPhone q4~-rJt1
OVNER '~TALLATION
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
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DATE:, p:). \'?" _ _
RECEIPT I: ' oj . I;.J.' I
RECEIVED BY:. CJ\~'" ."
n.
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or port ion
thereof $ 15.00
Each Manuf' dllome or
Modular Dwelling \ 4D
Service or Feeder $ /,0.00
Services or Feeders
Installation, 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 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
$ 40.00
$ 55.00
$ 80.00
volts see "8"
above
8ranch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servic~
or Feeder Permi t L
$ 35,00
$ 2 . 00 ...&-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF AnOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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