HomeMy WebLinkAboutPermit Electrical 1994-4-20
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SPRING.~
The following project as submitted has the following
225 FIFTH STREET ~onl;;'~ar.nd does not requir pecKle land usa ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97471 n I r
INSPECTION REQUEST: 726-3~69'n}\' Ci ty Job Number VI '10337
OFFICE: 726-3759 'Dffie, i
COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALIiA,Ir.lPNld Signature
.zt.<I'" S. c.lenlN"kQ.r A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
, LEGAL DESCRIPTION
~~/'i, Z9~, Z2,T.J7.s.JG3.1lJ~, kJ.M,
$/"'1;1 7e/~ ~~ a",/ Ot'€, -
f\' OB DESCRIrrI~-'1-;-
\ .1) j\ Q .~l:'. \).A.I \ k
Permits a~ n-transfe~ble and expire
if work is ot started within 180 days
.of issuance or if work is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~~ ~~~/'
Address qg') ~1tP
1
City 6:1,,(~;f\L Phone ,,~-g7~
Supervisor Licen.se Number .1....efoo c:::::::
Expiration Date "
Constr Contr. Number z.r..bzif0-('?~?
Expira_tion Date (.,.-/0- 9''1
. Sl~~.~"i.i"
Owners Nam:iJ:,;.t I3I~jr'"
Address'1'!Oz. Te-n:t/et! /r1.
Ci ty e.~ Phone "B'i"-5"'2-7"-
OVNER INSTALLATION
The installation is behig made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
~
DATE:------y;~.;;.-=---~----------
RECEJ.r1 i~ /~,.,., ~ #../ -- ".-.J..;.
RECEIVED B}: ....--- /::.-....,..____
'/f-' r
.:
It ems Cost Sum
1000 sq.ft. or less I $ 85.00 ~
Each additional 500
sq. ft or portion $ ~
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
. ,
B. Services or Feeders
Installation, Alterations
or Relocatio.n:
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
$ 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
see nB"
volts
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$
$
$
$
~/~ _J ~
~ ~-_ - /e>.'fi'!>
-d' "=" '-'11\::__
40.00
40.00
20.00
36.00
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