HomeMy WebLinkAboutPermit Electrical 1994-1-12
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The following pro.isct as submitted has the following
I ZO.l'I'g. Qr:d {~.~~S not req'Jiie spec:~jc land use
: , 225 FIFTH STREET ~pp""d.
.1' SPRINGFIELD, OREGON 97477 7"n1ng 1!1DI<.
I INSPECTION REQUEST: 726-3769 -.
'" OFFICE: . 726....3759 Dote 11/21'1'1
11':1 1. LOCATION OF INSTAt'&T~O~Slgnaturo. .ffi
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LEGAL DESCRIFTION
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JOI!...1!..ESCRIPTION ~
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': ,i Permi ts are non-transfer~bl~ and expire
if work is not started w1th1n 180 days
of issuance or if work is suspended for
1" 180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor f..{f--J.:-"<" /r-i.:,.
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Address _'> ~ ~
S. UJf (/i..
City s;. P {D
Phone /),.; 'f . II ~,J.."
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:' ,I Supervisor License Number . 3S 'r! S
Expiration Date ;;-9S-
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Constr Contr. Number' S'lL{ 2. :s
Expiration Date. 3-S-"1 '-f
II,:
Signature of SU2erviS g Electrician
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Ilf N .L____~ /"A_ .....
',i1 Owners ame_~ ,;~ - / ~~
Address
City Phone
OIINER INSTALLATION
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The installation is being made on
property I own which is not intended
for sale, lease or rent.
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Owners Signature:
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DATE:
RECEIPT 11:
RECEIVED BY:
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ELECTRICAL PERKIT APPLICATION
Ci ty Job Number '9"?~ e,/
3.
COMPLETE FEE SCHEDULE BELOV
unit.
Cost
Sum
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof.
Each Manuf'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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
. E.
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 ItB"
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above .
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
not included)
Miscellaneous (Service/feeder
....Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy(Comm
5..
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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