HomeMy WebLinkAboutPermit Electrical 1994-2-7
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SPRINO.O
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T~e following project as submllted~:, the ~~ ,..
225 r...r." STREET zoning, ono doe. not require spec,i '''l!'i.ECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approve!, I ,CV
INSPECTION REQUEST: 726-3769 Zoning LA)Q - Ci ty Job Number Q<-1{x)(f;C)
OFFICE: 726-3759 ;J.1_1,1, I
Oete~ 3. COMPLETE FEE SCHEDULE BELOV
1. I,OCA;UON OF INSTJU.LATIO~l\II.I~orizod Signature ~ '
I 0'6\ n9.. R'),\<"i ~J \ \Q _ A. New Residential-Single or
(j Hulti-Family per dwelling unit.
" LEGAL)>ESCRIP'!-'ION~, Service Included:
100dn.~11 OO\(,AJ Items
JOB DESCRIPTION - (Jl 31(P3/~j 1000 sq. ft. or less I
< <q ni\\o" D~t 0 I I 't'OF\ . Each addi tional 500
, \ ir sq. ft or portion 1 _
Permits ate nor- ransfer~le an~-expire thereof ~
if work is not arted within 180 days Each Manuf'd Home or
'of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
!
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~~rI ~/f~~/~
Address PO. Bot /0 G 7
City S'ppJJ, (J., Phone 7;), t -tj 303-
Supervisor License Number :1~ 7/ 5
Expiration Date' /D /; /r:> l'
;1, ,3OJP5/ C.
Constr ContI'. Number :10-1/;Ic'
Expiration Date Ii) 1/ / q.~ 3Z8.q/.p
~ectrician
Owners Na 9=1 LJLIoUAt:::'
Address 4 m4 ~ 1> ~:::h ~
City. ~Uf1. ,~ Phone~'~
ovtmk' iN)TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE: ~------~;~::z~---------~
RECEIP'r I: (' I, i, h{(? 'I
RECEIVED BY~I i_I 1..1 .-J '
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
Cost Sum
$ 85.00 PF)
$ 15.00 YO
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B"
40
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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