HomeMy WebLinkAboutPermit Electrical 1994-3-30
The fO~loWing project ~s oubrnitted '~~ ;h~:f~IIOWI '~
22's FIFTH l>LIU:.J:.L ~~~'r~~arnd does not require specific land uS!lLE~CAL PERMIT ,APPLICATION
SPRINGFIELD, OREGON 97477 / )J/ ffY:J. \1\ I A
INSPECTION REQUEST: 726':376~oning k/1C-' City Job Number Vj,:'J~ ~
OFFICE: 726-3759 Oete :~ -~()-q1-
1. LOCATION QE..IN~p.r 11.'It~ ~ed. Signature fJ ."..2..
YIS\ rGA . ~ ) A.
LEGAL DESWJ1:fIO~
\ a::A.r\~ H-. r D }\! .7]
~ ~ \...-'
JOB DESCRIPTION
t.t..' ,'. "... 1\La.:f- 011.--"" -D
. ' Uf bl 0 .
Permlts-are non-trans era e and explre
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor OREGON ELECTRIC-SERVICE
Address~;;).)n L. ") '-N-f ~
Ci ty ~ <,-,-,,- Phone ~cJ.:~ - I br:;cl
Supervisor acense Number /,-'~'/1c!;J" "\
Expiration Date 10 Ie; c./
Constr Contr. Number NoLi (0 C---
Expiration Date ;eJ /qrj
Sign~!ure of sup.ervising Electrician
7~~" (') JtJ,." ,
O~ners Naml"JW()ki:e~
Address ~~
Ci ty Phone 74(0 -~) 35
OYNER INSTALLATION
-' The installation is being made on
-property I o~n ~hich is not intended
~or sale, lease or rent.
Owners Signature:
~ATE~==-~--- ^~ .~~C) ,q::j:.------~
,RECEIn 11: \ _ ~,\?, \A\oJ
2RECEIVED BY~ -::-^) v- ~ ;;7' ~ '\
;-
COMPLETE FEE SCHEDULE BELOY
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
, sq. ft, or portion
. i.. thereof
Each'Manuf'd Home or
Modular D~elling
Service or Feeder
B.
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
C.
uni t.
Cost
Sum
$ 85.00
$ 15.00'
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Ne~, Alteration or Extension Per Panel
One Ci rcui t /
Each Addi tional
Circuit or ~ith Service
or Feeder Permit
E. Hiscellaneous (Service/feeder
.- -Each installation
Pump at irrigation
Sign/Outline Lighting,
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL'
$ 35.00 3S'&O
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
S 36.00'
~ "S 0"0
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