HomeMy WebLinkAboutPermit Electrical 1994-9-15
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~~pn~~~a:,"d does "ot ~:;~;:8ittp~.Q'~1 the follow
. y and Use
225 FIITH STREET Zoninp
SPRINGFIELD, OREGON 9747q~a__~
INSPECTION REQUEST: 726,;-,);(69 "
OFFICE: 726-3759 onzedSlgnallJro'
1. LOCATION OF INSTALLATION
3LJ .'V') ~ LJ.-RflJJA I ~/~ A.
LEGAL DESCRIPTION .
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JOB DESCRIPTION
Iii ho P. c;.lV!.J/ / ~
;.
Permits are non-transferable and expite
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Pt\h-I.J I==krlff,'r
.~
=:\ (d S'+-e~j-
Address \).. ~\ U
City ~<;
Phone lnS-c2l39
Supervisor License Number I ()nln.s
Expiration Date LO-I-9'<
Constr Contr. Number (oRlL/--:::
Expiration Date Q-z/-Q5
Signature of Supervising Electrician
4~ ~.-~~
Ovners Name~a.) ~72St(H7ATCl1"
Address ~5" S. "J2.P..A. sT.
Ci ty ~?~ _ Phone -:U4-w9~~
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OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
.'
-----------------7:--~~---------------
DATE:_ t:t./I6/,cI
RECEIPT 1I: { ( .IA"72.~q
RECEIVED BY: /"..J.-- 1~
. ~_ -,7-- '--
ELECTRICAL PERMIT APPLICATI~
City Job Number 94 / ~Jg:
.1. (;orlPJ,g];" TCl>.E SCHEDULE BELOII
,
Nev Residential-Single or
Multi-Family per dvelling ~nit.
Service Included:
It ems Cos t
Sum
1000 sq,ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
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
$ 50.00
$ 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 100U volts
D.
Branch Circuits
$ 40.00 ~o.""--
$ 55:00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
"'"
$ 2.00
/
~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
4tc) 60
2,""
I :L,O
.4. :j ~o
ctA
40.00
40.00
20.00
36.00