HomeMy WebLinkAboutPermit Electrical 1994-6-6
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SPRINGFIELD...
Tho folloy-'ing project 89 6U,bm .!.laG I ~Il I'
;wning. and doe5 not require speCl1lC Io.nd usn
appro'Je.!.
225 FIFTH STREET ' W
SPRINGFIELD, OREGON 97477 Zonlng_
mSPECTION REQUEST: 726t3}f>9 (r(; -44
OFFICE: 726-3759 -'.
A~~horized Signmure
ELECTRICAL PERMIT APPLICA~O~ c-
City Job Number C\4\)~
{\ . ('10-, '"
). ':'vl"lrW>U> a." SCHEDULE BELOII
A. New Residential-Single or ~
Multi~F~mily per dwelling unit. '
Service Included:
Items Cost Sum
1. LOCATION OF mSTALLATION
15~ rf)aA'f') . <}J.--
I ~~~~~~ON
ffi\,f'Q.
JOB DESCRIPTION
_ i n<;-& /I ~<;~~J1 n ~
Permits are non-transferable and expire
if work is not started' within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ,~Y)/+Yl) I
Address PI) /?by :JJlJiLq
City 7:;.J~llL phone..$I-,')f4
c:1 -
Supervisor License Number /'i%IJJLb
Expiration Date /~- /-0/ fL>
Constr Contr. Number &'5/ t/9
Expiration Date ~ In -:,;).?-<fh
Signature of Supervising Electrician
(\"\ .+( Jl ,M. /' r .l-::+
,~ _.' D.
owners N8f'e Sri'Y'i-+/lt+f.u N~r-lh()Jt!!(f-
Address'
City
Phone ~1 '1/ -1./7/
OWER mSTALLATION
The installation is,c being made on '
property ,I own,whi~h is not intended
for sale, 'lease or rent.
'Ovn~~s. Signature:
"',' ""',,
. ,,'. "'tb"
DATE: . " n \J)' \.. ' .
RECEI'rT, f: ,\, /)\., J\pS~,!..)I ..J
RECEIVED BY: ~ ~'~~.:.--.-~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof, .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 amp~.or 1000.volts
Branch Circuits
$ 40.00
$ 55.00
$80.00
see "B" above
New, Alteration or Extension Per Panel
. ' .
'One Circuit'
,Each Addi tional "
Circuifor wfth Ser.vice
, or FeederPe,rmi t
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-~ach installation
Puinp or, irrigation $ 40.00
Sign(Oi.ttlinetighdnl! $ 40.00
LImited Energy/Res $20.00
Limited Ener[p'/Comlll J $36.60 ~
5,. SlJBTOTAL OP"ABOVE
5% 'State ,Surcharge,
TOTAL" .
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