HomeMy WebLinkAboutPermit Electrical 1994-5-5
.
SPRING-'O
e following project
zoning, and does not ~:qS~bmitted has the folio
approval. Ire specific land use
225 r.Lr~1l STREET Zoning LDe ELECTRICAL PERHIT APPJ.ICATION
SPRINGF'IELD, OREGON 97477 nA7't--r1c:::::::.
INSPECTION REQUEST: 726-37~!l S-S.qy City Job Number '1~,C'Y\"", ')
. OFFICE: 726-3759 AtJthorizG:j ";, ..,
;' v.gns,uro I'I't J'\.I'60HPLETE FEE SCDEDULE BELOV
1; ~~t') ~1YJ1JtJiON-#--/rQ~
I ~ION()4400
,
I
I
P"."",," "-""'~::'b~2ifL
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
'2." CONTRACTOR INSTALLATION ONLY
. -
Electrical Contractor 1..t'F.KIIAL~}F-_EU:c:r:
, lo<fl- -;yt.....--:pr. ~
Address @.t.:<; \IJu;;- '1 qTIt ME_ .
CitY_PIA(-,~...........IF_ _ Phone
Supervisor Licen~e Number
7Z--Q -l5DO
q Llc:'{; (,?fj-lbo~
Expiration Date
to --I -9<")
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf/d lIome or
Modular Dwelling 11
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
$ 05.00
$ 15.00
$ 1,0.00 EO
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number (o::--)\:o'll
Expiratio~ Date \'2...--z..,-~ q4.
. .J
Signature of Supervising Electrician
~~r~
'" O\lllers Na~ed {J ^
Address 31]?i(J. I. c:J ~ sV1l >tI
City ~- I'J..'--"Phone] (1b-~'7' / -~:~hC~~~~~ional .
, r. ' ~ Circui t or with Service
o STALLATION or Feeder Permit
The, installation is being made on
property I own.which is not intended
for sale, lease or rent.
..
Owners Signature:
.'
DATE: " ;:---;TC5;?5,7:1<t-~-----
RECEIPT. ':0~ <J. ')\'lUZ.-v
RECEIVED B : n
. -..=.-----\.---". .
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Ci rcuits
volts
$ 40.00
$ 55.00
$ 80.00
see tlD"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
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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