HomeMy WebLinkAboutPermit Electrical 1994-6-14
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225 FIFTH STREET Zonina LML
SpRINGFIELD, OREGON 97477 n t (,-/4--44-
INSPECTION REQUEST: 726-37b9' e ,
OFFICE: 726-3759 Authorizod'SignatufG
1, LOCATION OF INSTALLATION II/
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started'within 180 days
'of issuance or if w~rk is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor, <:;;n/-fn"J!
Address PI) ~ :2//)/)q
CitY_>;'A!fA/l.fJ~ , Phone-,-Jf& h'J(eZf
, Supervisor Licen,se Number /7YtJ Li!E
Expiration Date 10 -/-9'0
Constr Contr~ Number &)//j-q
Expiration Date t'o-;)f?:Al~
Signature of Supervising Electrician
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,~ pvners N3f1eJj,J,mJ Itidl/cf5 (;radt:+ t(,JI/;(J D.
Addressj?tJ &?r ' .;)q7
Ci ty ~ <)pr/'!JHeJd_Phone.2!L/J-1.J23)
OlINER INSTALLATION
The, installation is: being made on,
property I own ,which is not intended
for sale, 'lease or'rent.
Owners Signature:
DATE:
RECEIPT, f: '
RECEIVED BY:
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ELECTRICAL PERMIT APPLICATION
City Job Number q~og8 /
W'M
3. COKPLETI! FEE SCHEDULE BELOII
A. New Residential-Single or
Multi~F~mily per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B, Services or Feeders
Installation,' Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to '400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 amp~,or 1000,volts
Branch Circuits
$ 40.00
$ 55.00
$80.00
see uBn
above
New, Alteration or Extension Per Panel
, ..
'One Ci rcui t'
,Each Addi t ional ,
Circuifor ..,fth Service
, or Feeder.Pe,rmi t
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Puinp or, irrigation' $40.00
Sign/Outline Lighting $ 40.00
LAmited Energy/Res ----- ,$ 20.00
,Liniited Energy/Comm / $36.60 3k1lJ
5,.
SUBTOTAL OF"ABOVE'
5% 'State ,Surcharge
TOTAL" ,
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,."::l$? ,gg-