HomeMy WebLinkAboutPermit Electrical 1994-10-24
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So b:tr ' ( o. '0'1, Tho.followlng project es ",..b""." '.-.".. foil ~ . "
225 r.......> STREET ~~~;r~~arnddoeanotr"q'ELE~l:!. PERKIT APPLICATION 'Y
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 . Zonlna (l~.L_.__. City Job Number ":7V/~2::::r
OFFICE: . 726-3759 r <',//)-;:)"/-~ '
. .-;V J COHPLETE FEE SCHEDULE BELOV
1. LOCATION OP INSTALLATION A"~\Orizod Slgnatul'll ' U f\A..../
'2..-.ro ..J:::'l crt. I ,If'1 . \ r-New 1'",,,iJ,,,,,MH.-Single or
Hulti-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
I) ~b'9.;;;:2' 6&=>. .::::>2. <y1&!f!>e:> Items Cos t Sum
JOB DESCRIPTION
'1. N.J..;..) uc.1::.o 'SO:T'\ ~..t-o{'",-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor7f1 \ me.('/A" \:as
, I
Address ?!/7o YY1p::..r\r'A'\ LAJ
City tfllO~
o
Supervisor Licen~e
Expiration Date"
Constr Contr. Number
Phone Co~-<Ol~l
~ I[ Cj S
I iJ/ q:5
5Y Lj ~ B
q ~ /4 - '1 Y.
Number
Expiration Date
Signature of ~ervisi~g E~ectrician
C.. U..../ ./
;, Owners Name~ o.Jf<;it.-\ ~-\-oves.
Address 2.. "L'5b ~ 0 . . ,~
Ci ty S.p -\=-LJ
Phone ,'-\ \- 0'-\ 10
OVNER INSTALLATION
The installation is being made on
property I own which ,is.not intended
for sale, lease or rent.
Owners Signature:
/L!? ~-;z y' -"'" y
/17/2'3'
--------/~-
'l" .
DATE:
RECEIPT I:
RECEIvED BY:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
vOHS
$ 40.00
$ 55.00
$ 80.00
see liB"
above
D.' Branch Circuits
New, Alteration or
Extension Per Panel
~5~
$ 35.00 oJ
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t I
$
z~
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 3/,0C)
5% State Surcharge I. ~S
'f6TkL 3"'}o ~ I . 1 \
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