HomeMy WebLinkAboutPermit Electrical 1994-2-10
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Zoning, 1/0'\1
OFFICE: 726-3759 :::J I ,~I r." J
i' . D.t.~ 3. COMPLETE FEE SCnEDULE BELOV
1: J,OCAT~N~NSTALLAIIOtl;;'''''OJitaASlgnatur. \~ '
r\J1.::')r) 11 JJI//1,/lr',-,./ } A. Nev Residential-Single or
',. ,Multi-Family per dvelling unit.
IrrmJJ~l?ON {)"t1{)O Service Included: Items Cost
B DESCRIPTJ-<\!\"~ /l /} A1t1 ff1 ,
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Jon-~ransferable and eKpire
if york is not started within 180 days
of issuance or if vork is suspended for
180 days.
'2." CONTRACTOR INSTALLATION ONLY
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Electrical Contractor H-F-R rr-AfJ~_E:Lf~
I<>'/Z. 7cht..-- ~ -
Address @.f.<3 \,~ ?-'-IT'.', /tJE_
City \='H hlr_-td F_
lZJ( -t'500
6~-16<5b
Cj l\~l<;
Phone
Supervisor License Number
Expiration Date
lO--\-9"'i
Constr Contr. Number (O3\~1
Expiration Date 12--2,-Cj,3
Signature of Supervising Electrician
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.. Ovners Name '-..)JL(\.J\jL ~r \ .
Address,cO/tjD (1'~ #//{)
. Ci ty ~ .1'9 Phone ?4'78Q31
.0~\tNSTALLATION
The, installation is being made on
property .1 ovn vhich is not intended
for sale, lease or rent.
,
..
Owners Signature:
.'
DATE: -:~---~;RJ-:lrY-~~3---
RECEIPT I: L;r "II -
RECEIVED Bf:; If /1M .J ,
.. ~ .. '
City Job Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manu f' d !Iome or
Modular Dvelling
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
q4nf~~ I
$ 05.00
$ 15.00
r
$ 40.00
$ 50.00
S 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
D. 8ranch Circui ts
volts
$ 40.00
$ 55.00
$ 80.00
see linn
Nev, Alteration or Extension rer Panel
One Ci rcui t
Each Addi tional
Circuit or vith Service
or Feeder rermit
S 35.00
$
2.00
Sum
~
above
not included)
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
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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