HomeMy WebLinkAboutPermit Electrical 1994-10-18
The, fol/owing project
zomng, and does not ~oqs submitted has the tol
approval. U!ro speer
225 I'IFTII STREET
SPRINGFIELD, OIlEGON 97477 20' LJ: t
INSPECTION REQUEST: 72(;-37(;' / c mng ,
OFFICE: 726-37'? Oete -/ g -<jer-
, Authorized Slgnatur j . &OMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION e If'l\. -
NS CD(Z.f..lea- 'PAt> . GA-r~I:.'-( Ket,L A. New Residential";Single or
~,"A1'C1A~ - Multi-Family per dwelling unit.
\<\ ffi~~ION 09.1J..Cf) Service Included: Items
JOB DESCRIPTION
ILwH\IJA1'~ AWIJ1I.1CoS,
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~r~~ ~~. S(~J
<I.
Phone Jy'2-(7fvtf
Number 435 )"
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b 4Jd!1
3/ qr-
AddI:ess
20'1
]' tllfr( 11.....
Ci ty t:.1^qeVtP.
Supervisor License
Expiration Date
Constr Contr. Number
Expiration Date
\
Signature of Supervising Electrician
/2;~ . ~/I~
, ~.I \-..I '\"L'+-: D.
Owners Name ~h Tm \-\~\"\!l&l~
AddressL\t\~~ ~~OllO..'\1'QH) (\e.
Cit~/ll\. \l~~C"\.l rhone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: /C>-/8'~Y
RECEIPT I: / S-/2 ~
RECEIVED BY: - ~~
. ~/ -
C<ity Job Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
S35.003~c:v
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation ,$,40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/CommS 36.00
5. SUBTOTAL OF ABOVE .~~p:::>
5% S ta te Surcharge I. '7 ~
TOTAL I . n5 __
( - 3') .~o