HomeMy WebLinkAboutPermit Electrical 1994-2-7
.
, ,olecl as submitted has the folio
225 FIFTB STREET ~~~i~~~o:~gd~ss not require specKle len<lE'ttCTRICAL PERHIT APPLICATION
SPRING~IELD, OREGON 97477 epproval. f712/n7\(
INSPECfION REOUEST: 726-3769 Z 'no L.{)tL ,'Ci ty Job Number v/ \ J -f{) IJ
OFFICE: 726-3759 ,...,ont
D.,te -'I:) \C,'1 3. COMPLETE FEE SCHEDULE BELOII
1. r~Cfj~1' &IT)t^lI~ltt~'e_\0f
I~~~~,IONW IW
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
Cost
Sum
$ 85.00 855
1000 sq.ft. or less I
Each additional 500
sq. ft or portion /1_.
thereof \'
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
,,\~~~q.I~Q1Y\D d?81lJ
, I
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
$ 15.00 (dJ
$ 40.00
2. CONTRACfOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations
or Relocation:
,
Electrical
Contractor
L YNN'S ELECTRIC
PO BOX A 7~B-7AQ<;
FALL CREEK OR 97438
Phone
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
Address
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
City
Supervisor License Number 2. ~5? - ~
Expiration Date /0/9 -=<" ..
Constr Contr. Number -;2'9/61
Expiration Date /0/13
C. Temporary Services or'Feeders
Installation, Alteration or Reloca t ion
200 amps or less / $ 40.00 1()
201 ampS to 400 amps $ 55.00 ~
Over 401 to 600 amps $ 80.00
Over 600 amps or 100U vol ts see "B" above
D. Branch Circuits
Signature of Supervising Electrician
p~
ow.~o 'f'Cl t fJn (I.)I fu
AddresscJ& ,"f) <-~'7~L,
City ~ Phone '-147 -a;R /
\ '
OI1NER I TALLATION
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
The, installation is beirig made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE -.J~c;:=;~
5% State Surcharge - L{ ~
TOTAL ICfCf '~5
Owners Signature:
DATE: ~~~~~~~---~---------
RECEIPT .: A-L1)y) ( I ,<o:{,;,-]-
RECEIVED BY: ( 71W JI-I\..-J
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