HomeMy WebLinkAboutPermit Electrical 1994-12-9
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225 FIFTH STREET ELECTRICAL
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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Permits are non-transferable and expire
if york is not started 'vi thin 180 days
of issuance or if,vork is suspended for
180 days.
2.,' CONTRACTOR INSTALLATION ONLY B.
, C}p.<.JtU-~ -.i<:;-K>,
Electrical Contrae'tor' ?'?J./~.f ~
Address6rb' ~ f:J, hd (-r
Ci ty..s:/.2rU~'" Phone 7c;7:J,.c) fS-x-
Supervisor License Number '57 '3 <) ;;
Expiration Date I{} , 9S"- y'<-(
C.
Constr Contr. Number 77CJL;C: - :/"r)'2,c1-)'C
Expiration Date !tJ.- 9<5"
Signature of Supervising Electrician
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Vo~ners NameC..I:1U-.'../t //a.//JU2
Address ,~~_ ~ ~f\ ~ ~L
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
~~~~~-------------~----\~~-~~~
RECEIPT II: \.4."':' _ \ ~
RECEIVED BY: \ \ \\ \ ,\ )
3. COMPLETE FEE SCHEDULE BELOV
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
uni t.
Cost Sum
$ 85.00 8S
$ 15.00 1S
$ 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
Branch Circui ts
$ 40.00.
$ 55.00' "
$ 80.00
see UBU 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 Lighting
Limited Energy/Res
Limited Energy/Comm
1. LOCATION ~ INSTALLATION
07Cf?' J.UU (..,.. A. Nev Residential-Single or
, : / ~~ .....J1'Il Multi-Family per dvelling
LEGA), DESCRIPTIO~ . Of'Q.K OaJ.-/ Service Included:
7l.e...r KP~", ~ Items
I
--5
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
S
S 36.00
I (d)Cd
\~.~
40.00
40.00
20.00