HomeMy WebLinkAboutPermit Electrical 1994-3-4 (2)
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225 ,FIFTH STREET 1"" \c.!\owln~d' not require spec c 8 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747'P' end oeD q~ro
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INSPECTION REQUEST: 726-37~9, M'OrL" .-- City Job Number
OFFICE: . 726-3759 ,,-onlng -
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1. ~~~~~~.
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Permits are non-t~a\sferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor J..lf-:.).~,,,-II-!.:..
-.. .,,-..,
Address _:-::"-'>
s~.
(dJf' Ct,
Ci ty ....s:: P fD
Phone ~)'i 'I' I t (.,oJ."
Supervisor License Number 35 'rl S
Expiration Date
1/-9S-
Constr Contr. Number
8142.:5.
Expiration Date
3-S-'1 '-i
Signature of sup~~ing Electrician
~J zfTu."
.. Owners Nam~ '\'<<\ ~ Eu..o. ./
Address Illlo t )d' mu',\ r )
Ci ty. b ,,-:09 J\ UP~one ,34:-\ -"'~,,)lJf2-
01lNER rGkALLATION .
The installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~----~~1=q1--t:~~~ 5.
RECEIVED B'y: t' \~,FU J
Temporary Services or'Feeders
Installation, Alteration or Relocation
4()
COMPLETE FEE SCHEDULE BELOV
-
Nev 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
C.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 100U
D. Branch Circui ts
unit.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
1
$
$
$ 80.00
see "Bft
40.00
55.00
above
volts
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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