HomeMy WebLinkAboutPermit Electrical 1994-5-27
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.'The. foflo\.'ti~g. project as submftted has the followin
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225 FIFTH STREET ,,~prc'I"I, ELECTRICAL PERMIT APPLICATION
SPRlNGF'IELD, OREGON 97477, Zoriioq WrZ.. nAl\''J.rc::-
INSPECTION REQUEST: 726-3769... -" 1 '.. Ci ty Job Number -=cJl }LJ3L)
OFFICE: 726'-3759' 0.19 <J-"'" --.'-f
. , Authorized Signat~"a tv. -;.,... COMPLETE FEE SCDEDULE BELOV
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I ~Ak ~~PTION
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~r!rup
transferable and expire
started vi thin 180 days
if york is suspended for
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Electrical Contractor 1+F--i<ITACF-_EI..CCT:
.,/o<fl. ~~.} ..
Address '6~t."S \'.''2'':--.-0 '2 '1TH- A<\JE.-
City.:...I='J.I [,1<,..../1.\ E _ Phone
lZJ1 -1'5DO
M'?-/6~
'1'-\""1<;
Supervisor License Number
Expiration Date
I
,
Constr Contr. Number
lO ,. l - q "'j
Expiration Date
("3\::"l1
\ 2- -21 _cE3
..
v.~
ovner~ NlY\e
Addre~J.c0 ,A _
, Ci t~ ~Lfilii)Phone
,OWER INSTALLATION
f) 1!tJ
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
OWners Signature:
.'
DATE~---~--~-~:~T)7J:f:2f~--=------
RECEIPT, I: ' I ~. I. ~ w-
RECEIVED BY:(-=-'I~l'00 -,
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd lIome or
Modular Dwelling
Service or Feeder
n.
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
Items
Sum
Cost
$ 05.00
$ 15.00
l $ 40.00
~
./
$ 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
D.' Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or \lith Service f\ ,
or Feeder Permit ~ $ 2.00 ~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ /,0.00
$ 40.00
$ 20.00
$ 36.00
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