HomeMy WebLinkAboutPermit Electrical 1994-3-17
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The following project as submitted has the follow tt,'
225 FIITH STREET ~~I~'J.nd does not require speaie ~i.'tCliuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~~
INSPECTION REQUEST: 726-3769 Zoning LOt?, Ci tyJob Number 7&.1"" CJZ:) / Z
OFFICE: 726.,3759 Dete ':S-l'1-ct4 '*
1. LOCATION OF INSTALLATIOrfuthorlzed SlgnatureJh..v,reLETE FEE SCHEDULE BELOII ,
'2/'- '2... L/lcl-l 7lA'. A. New Residential-Single or ,
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
111?7,Z<;'" /2.- 02.SOV
JOB DESCRIPTION ,/. ..
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor If/.eu ~W//f
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Address d 78' Z C~/r-J
Phone 39'3-7<"--;7'7
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City &.".
,
Supervisor License Number
Expiration Date
/0- ~y
/7;L~2-
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Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
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ogrs Name J?BD / /fATlP/..tI. )LHCA.wP D.
Address ?//_2. kC# -ZU1.
City
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Phone 72(, - ~7~~
O\INER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT #:
RECEIVED ny:
3 -/7~?'/
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1000,sq.ft. or less
-..Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
B.
Services or Feeders
Installation, Alterations or
Relocation:
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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
$ 85.00
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t.J.~
$ 15.00
$ 40.00
$ 59.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or Feed~rs
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 Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit
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
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
S 36.00
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