HomeMy WebLinkAboutPermit Electrical 1994-11-27
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Toe !ollowin9 proJAct as submitted has tho followlr.
225 FIFTIl STREET Z0,""~, ~nd does not require specific land U90 9
SPRINGFIELD, OREG8ffr~1'477
INSPECTION REQUE'ST: 726..110169 rv\Ot9....-:
OFFICE: 726-3759Date-JI_L7 -lit{
1. LOCATION OF INlIlI'<lrhL4~&1'8 tJ nI\
:<:'?72 - 5"7'7<1 ~Y:.<\fIti Ie..
\<i<'(~~\<fPTION ro\2D
JOB DESCRI~ON).\ . _ ~
~ mC\~I, I..._~, _
Permits are non- ransferable and'exp re
if york is not started 'vi thin 180 days
of issuance or if,vork is suspenaed for
180 days.
2..' CONTRACTOR INSTALLATION ONLY
Electrical Contractor Ge...-c....-dciec:l
Address.<11S.<Y ~~ is,,, R.eI.
Ci tYS'n.{2l d Phone '741- 2S'?6
Supe.visor License Numbe. ~~~~
Expi.ation Date /o-} -9S
Const. Cont.. Number 'if7/45
Expiration Date j/-/CJ-rz5
Signature of Supervising Electrician
/1(~(//o1~ . "
Ovners Name~ I k ~ D.
Address~~\) ~:'"'d~
Phone {4i .q~~ll
~STALLATION
Cit
The installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
~~TE~--------------Jf}c~-~~ -
RECEIPT ft: I} , A..A 0
RECEIVED ny: ~ :~)
- K. 71-. .4<f..
City Job Number
ELECTRICAL PERMIT APPLICATION
% VYJ
3.
COMPLETE FEE SCHEDULE BELOV
iI.
''''w t\esidential-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
-4
n.
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
$ \ L1'\~
40.00 ..1W.
$ 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
Ilranch Circuits
$ 40.00
$ 55.00
$ 80.00
see ItB" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUIlTOTAL OF ABOVE
57. State Surcharge
7. Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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