HomeMy WebLinkAboutPermit Electrical 1994-8-4
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225 FIFTH STREET Zonino ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747b'l1" . K/1+-4'-< Q. ~// 0/
INSPECTION REQUEST: 726-;J/b'1 ,.. (I f'^-- Ci ty ,lob Number, / / k?
OFFICE: 726-3759 Authorized Signature
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION
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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 B.
Electrical Contractor, Son i t ro I SeclJ r i ty
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Address P.Q, Box 21009
City Euuene
Phone 461-5678
Supervisor License Number /'7}It') JL&
Expiration Date
/o-/-9?'
Constr Contr. Number 65149
Expiration Dat~ 6-28-96
Signature of Supervising Electrician
{V\ ,+ rA. M.-r ~w4-
Owners Name -1lJ c!JtJw..ds,
Address ,11'/0,5 (""h.,,)t?~
Ci ty ..'2tnr::J.r;" /~ Phone V6 - .;lJ>/9
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------~-~-,~---------------
DATE: ~ /4:'/ ;; 4
RECEIPT 1I: i (f-r LL L
RECEIVED BY: .",....~
l
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd'Home or
Modular Dwelling
Service or Feeder
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
Items Cos t
Sum
$ 85.00
$ 15,OO
$ 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
D.
Branch Circuits
$ 40,00
$ ,55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2,00
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
3% Administrative Fee
TOTAL
$ 40,00
$ 40.00
$ 20,00
$ 36.00
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