HomeMy WebLinkAboutPermit Electrical 1994-11-18
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The following project a. submitted has the fo!lo
zoning, and does not require specific land uso
approval. ELECTRICAL PERMIT APPLICATION
97477 Zoning (,(Y
726-~k~9}1-- f( -''jLr
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Authorized Signature
LOCATION OF INSTALLATION
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQuEsT:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
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J~PTION
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Permits are non-transferable and expire
if vork is not started ~ithin 180 days
of issuance or if.vork is suspenaed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~~~.
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expira t ion Da te
Signature of Supervising Electrician
...
City Job Number tC)O//7gcr
U..n..coIlPI.R'T'R 1>1>1> SCHEDULE BELOI/
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 ampsfvolts
Reconnect Only
$ 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
--------s 40. 00
$ 55.00
$ 80.00
volts see "B"
above
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P I_~ D. Branch Circuits
Ovners Name ~ Yrr~(4~
..... .. . _5<_ Nev, Alteration or Extension Per Panel
Address~'Y'7.~-A ~~~~~
One Circuit $ 35.00
Ci ty~~.Ao?"#...a Phone "77"'6"-~S-- Each Addi tional
~~~~ Circuit or vith Service
OYNER INSTALLATION or Feeder Permit $ 2.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
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DATE:
RECEIPT ~:
RECEIVED BY:
E. Miscellaneous (Serviceffeeder not included)
-Each installation
Pump or irrigation $ 40.00
SignfOutline Lighting $ 40.00
Limited EnergyfRes $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~~. ~
5% State Surcharge 2_-
3% Administrative Fee /.2e'
TOTAL ~. ~