HomeMy WebLinkAboutPermit Electrical 1994-11-14
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225 ~ H H. STREET Zonino (I.U ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGQN 97477 ) , (\,.\ V\ 2 In
INSPEC:ION REQUEST:, 726-!Mi9 t~, Lf-~t.r: City Job Number . \ \ I \ ("") 0
OFFICE. 726-3759 Authorlzed Signature JJf1'-- ' ,
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
~n 6AIF-lAJA0
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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
Electrical ContractorRp"",,,n F1 "....t-ri....
Address 2585 Roosevelt Blvd.
Ci ty
Phone 461-0291
Euqene
Supervisor License Number -J.A 0 0 co
Expiration Date
10/1/00:;
Constr Contr. Number
"lAl107
Expiration Date 1/1" /00
Signature of Supervising Electrician
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own:~am(S:M InlS ldOMf UIK rJ
Addkss. :~>{flf.a(') GA-TEW A,.I
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City Sf> i==' f') , Phone t4&, - 9 070
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
Owners Signature:
~ATE~-----------t\~-\~~~--~-~-~j
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A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
Items Cost
,
Sum
$ 85.QO
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
S300.00
$ 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 "BIt above
New, Alteration or Extension Per Panel
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00 3500
$ 2.00 AflO
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
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
3Q, DO
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