HomeMy WebLinkAboutPermit Electrical 1994-4-26
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... oljUlre topecific land use ow n
. . Zoning I\.t D f2
.225 FIFTH STREET 001. 4-l..
SPRINGFIELD; OREGON 97427' ~~
INSPECTION REQUEST: 72li!!!3769i Signature ,tJ. J'1..
OFFICE: . 726-3759. -
3.
. 1.' ~ON ~ ~ALLAT:W' .
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cJLAnfY
: .~,J<iB 'QEScRIPTION
\.'o~"W \: ~\(J),(
'''pe~in'i:ts are non_t~~nsferable and expire
.;'.,:if..vo.rk is. not started vi thin 180 days
I.. .of issuance or ifvork is suspended for.
. 180 days.
2. CONTRACfOR INSTALLATION ONLY
. Electrical' Contractor)-II-R__'<" 11.f.':;.
. ,. . ......--?
Address ,:':0,.':>
City S.P1'D
~ / i;)1'A /1,-
::; ~ u..v-f ~/t...
Phone .....I'-/-( - , I <,...1'
. Supervisor Licen~e Number _ ?,S "n S
. Expiration Date //-'7S-
const~Contr. Number'. 8(:/'42.. 3.
Expi'ration Date
3-S,-C, '-l
City Job Number
COHPl:ETE-FEE SCHEDULE BELOV
New Residential-Single or
Hulti~Family per dwelling
Service Included:
Items
1000 sq.ft. or less ~
Each addi tional 500 I.
sq. ft or portion ~
thereof . .~
Each Hanuf'd Home or
Modular Dwelling
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
...
'I
unit.
Cost Sum
$ 85.00 1'70
$ 15.00 dO
$ 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
.{_!:i~~&;f.~ctdcian ~_
.. Owriers..ND:me..; ~~Q fJ~-Q~":-o-. D. Branch Circuits
Address \ \ 1\ ~ '- t'\Lbl1 ~ f'1( )
. Ci:ty YJlY~OOO. _ Ph:ne3t~a oqD-..
. .01lNER ~ALLtiTION
. Theinstallatioil is being made on
property I own which' is not intended
for sale, .lease or rent.
I
Owilers Signature:
-----------
,
DATE:
RECEIPT 11:
RECEIVED BY:
4/- ::z6 ~"f? Y
72 y...~
_.'~~ J:.....
......--- $ 40.00
$ 55.00
$ 80.00
volts see "B"
.!t1:2
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Puinp or irrigation
Sign/Outline Lighting
LImited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder 'Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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