HomeMy WebLinkAboutPermit Electrical 1994-7-15
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225 FIFTH STREET apProval Il " I ' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~L/
INSPECTION REQUEST: 726-3769 Zonlnn 'Ci ty Job Number q~o q 107
OFFICE: 726-3759 Dote ')_1"-<14
1. L09}'g<)/jIOOF IN rized ~n~lure (\ ~ t;;OMPT 11'T'1l PBE SCUEDULE DELOV ,
pc.,;J.. . I~~. New Residential-Single or
, ~~' ,Multi-Family per dwelling ~nit.
, Service Included: '
: '" . . .' '\ Items Cost
LEGAL DESCRIPT ON
n O?"l.Z-Z-U 003OZ)"
(I) ! N;1:tcro;~150y tLI21E-lnt ~ll1lAffi
~ ,H I r<.1~r- 4?//-rN ' .'
Perml~s' are non-transfe~a6~e and expIre
if work is not 'started within 180 days
of issuance or' if work is suspended for
'180 days. "
"
2. CONTRACTOR INSTALLATI9N)rLY
E~ical Contractor (~-n
Address _ /J/O (ju/6bafth
City twlth't/ Ph~ne 4~5' 6S1z/~
I
Supervisor License Number t:; Ie; -SI IT
Expiration Date 10- , - q 6
'constr Contr. Number q57 qJ..
}..- I r q~
Expiration Date
Signature of Supervising Electrician
~~~l~/ ~ ,
Ollner~ Namejlau fLf'r'AD Iti.lir]
qq n, f~e~
It~ Phone' A14 bj
Address
City
OVNER INSTALLATION
The installation is being made on E.
property I Olin which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-------~----'1~TS-e:rt-~------- '5."
RECEIPT fi:~1 ~\~
RECEIVED DY:
Sum
,
100.0. sq.!t. or l~ss
Each additional 50.0.
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.0.0
$ 15.00
$ 40..00.
D.
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 100.0 amps/volts
Reconnect Dnly
':$ 50.00
$ 60.00
$100.00
, $130.00
$300..00
$ 40.00
I
I
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 40.1 to 600. 'amps
Over 600 amps or 1000 volts
$ 40..00.
$ 55.00
$ 80.00
see "D" above
D.
Branch 'Circuits
New,' Alteration or Extension Per Panel
One Circui t
Each Additional'
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.0.0.
Miscellaneous (Service/feeder
, -Each installation
Pump or irrigation
Sign/Outline Lighting ~,
Limited Energy/Res
Limited Energy/Comm
no t included)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00.
$ 20.0.0.
$ 36.00.
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