HomeMy WebLinkAboutPermit Electrical 1994-4-26
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!i :1 . Tha following projact as submitted hootha followln
II ',[ . zon1ng, and does not require specific land use
III )!225 ,r..<... STREET approval. ELECTRICAL PERMIT APPLICATION_
, lSPRINGFIELD, OREGON 97477 M .... /) n,lI 1":.1 c('"A
, II iiINSPECTION REQUEST: 726_3769",-oning-1.LlJ..}.1t::.- Ci ty Job Number, '-'M l .JtC:\ ~\
I !:OFFICE:. . 726-3759 c?ta-ff- '1-V-'{L( .
II ,', . IJ 'l ~ COHPLETE FEE SCHEDULE BELOV
'1. t.Q~TIOtkO.\' ,INST~ON.w.dSi"natura'TV"- .
, 'I:-'.V\ 9. ' f-\ \ ,{\. .\ \\('1 )Q)\ \ I),a...L A. New Residential-Single or
~ Hulti-Family per dwelling unit.
\\'.l~~~?.-<fPT~!\ri) . Service Included:
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",' Address .'):,.,.::> :; . lLL/' VI.-
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,i:i Ci ty s;. P.(D
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III Supervisor Licen;se Number 7,5 "1'7 S
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; ,Ii Expiration Date 3 -s, -'1 '-I
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:;t~tm~~oL%n~ Electridan.. _
. ~~ ?-J,,,,, .//---. D.' Branch Circui ts
.' ,i Owners Name'-D. ~\Jt\ ~~ )("i,LUJL'='
j 1! Addr~ss 1 { 'I S cD.dYllr b .
il;1 City ECq~ plione~.:3+<..~.,5lo9L
11 :, OVNER ~ALLATION
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,: .!k_\'f\o~ ~ll(guPTION cOl ~ 8"
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:: Permi ts are non-transferable and expire
Ii! if work is not started within 180 days
, 'i of issuance or if work is suspended for
Ii:! 180 days. .
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, ,i ii 2. CONTRACT~R INSTALLATION ONLY
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I :.i Electrical Contractor I-fr-.R.:<.. /1-1.:..
Phone .....)\.; 'I .. It ("...1"
Expiration Date //-9S-,
Co~s tr Con t r. Number . 86/, L{ 2.. :s
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:
RF.r.F.IVED BY:
7l'::?G-,,~ ....--....---....----
/2~.%.:;.1IJ>.~,
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
Cost
Sum
~
~.
/10
~O
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
....Each installation
Fump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci rcui t
Each Addi donal
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
dOD .09,
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cx....Lf ).00_