HomeMy WebLinkAboutPermit Electrical 1994-7-22
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The following project as submiMed hes thot!<ll'r- ,~, ~~
225 FIFTH STREET zoning. nod does not reqUire .I'oeifle land tI~r;eTRICAL PERMIT APPLICAT
SPRINGFIELD, OREGON 97477 epproval, n \ \ \ ~,
INSPECTION REQUEST: 726-3769 Zoning ~U City Job Number -~ \........~ )' ~
OFFICE: 726-3759 Jf2
Dote'7---:22.-Qc,r '3. COMPLETE FEE SCHEDULE BELOY . W
1. LOCATION OF INSTALLATtlClN:>rlzed Signature_ll,..,
3660 Gateway ST. A.
LEGAL DESCRIPTION
17-03-15-00 tax lots 5101 & 5102
JOB DESCRIPTION
Install Freeway Pylon Sign
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 Heath Signs
Address 4644 SE 17th Ave.
Ci ty Portland
Phone 232-2620
Supervisor License Number 366-SI
Expiration Date 10/1/96
Constr Contr. Number 64263
Expiration Date 2/9/95 '
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Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ~. <'2-"'2 C./
RECEIPT II: ./~&[?
RECEIVED BY: ~___ -"
New ~eslu~ntial-Sing1e or
Multi-Family per dwelling
Service Included:
Items
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
unit.
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 4QO amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "nil
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00 ,
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting ~1 $ 40.00 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $'36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
40.00
2.00
L'lQ
Q2.88
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