HomeMy WebLinkAboutPermit Electrical 1994-8-4
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SPAINGFIELo
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The, following project es submitted has the followin
zoning, and do.. not require specific land use
225 PIITO STREET approval. 'D.IJ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlna v'v 0
INSPECTION REQUEST: 77&-.;3769 )(4.J. -Cju City Job Number "t L{ J ?l J /
OFFICE: 726-3759 - ~ I
Authortzed Signature () ~
1. LOCA;rION OF INSTALLATION
4-'1~)( f-"(1).<';l.J'-1-1M' A.
LEG~ DESCRIPTION
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JpB DESCRIPTION " /
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork, is suspended ror
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address /
/
Ci ty lnone
Supervisor License~umber
/
E. . D /
xpHa tlon ate
/
Constr Con~r. Number
/
EXPiraty6n Date
Si~~re of Supervising Electrician
Ovners Name ~1W'v ~M.j ~-05 D.
Address.(fJ/O ~~ Clil.vfY ,
City 6N'3Wf~t Phone qA-i ~ f~2-
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
. Owners Signat~ren , _
-:Jmg/~~
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DATE: X'.L/-9L/
RECEIPT jI: I \,J 7A ',I
RECEIVED BY: (Lu.~ n
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
uni t.
Cost
Sum
$ 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
Branch Circuits
$ 40.00 LfD.6/)
$ 55,00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinf
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35,00
$ 2.00
not included)
$
$
$
$ 36.00
LlO,6D
1,..-,6i)
1 .7..0
l.j "?") D
40.00
40,00
20.00
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