HomeMy WebLinkAboutPermit Electrical 1994-10-26
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The folloWing project as submitted h8s the folio
ze-nino. and does not roqulre spectflc land use
approvaL
225 FIFTH STREET I r-.,/7
SPRINGFIELD, OREGON 97477 Zonin9 V1Jl'-'"
INSPECTION REQUEST:, 726-37,6,11, /o'lIo-0y
OFFICE: 726-3759
"ethorlzed Signature (Jvt-v 'rnMPr RTF. FRF. !':CHEDULE BELOV
1., ,LOCATION OF INSTALLATION
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LEGAL:DESCRlPTION
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JOB DESCRIPTION
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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
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
I
Expiration Date
Signature of Supervising Electrician
Owners Name e..,U r fu,V\d. ~
Address lot 0 P I~ C:t-
City Cx-6?VV-fhl Phone C{0-j,g3:=z,Z
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE:_ ID/Z,-y -1'-1 ,
RECEIPT 1I: I "lVI/to
~CEIVED BY:_~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number
q zi I foS3
A.
New Residential-Single or
, Multi-Family per dwelling unit.
Service Included:
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
Items
,
Sum
Cost
$ 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
D.
Branch Circuits
$ 40,00 4D
$ 55.00
$ 80.00
see "B" above
,.
New, 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
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
40.cD
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