HomeMy WebLinkAboutPermit Electrical 1994-5-2
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zo~~Og"Oaw'dngdProJect as submitted has t,I't,l1.M'RTCAL P'E1UHT APPLICATION
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SPRINGFIELD,' OREGON 97477 approval, eqUJrespecificlanduse' .6l. ../_-'"
INSPECTION REQUEST: 726-3769 z' I.rt.,. City Job Number 7 q-r X 0 I ~
OFFICE': 726-3759 onlng r-
Dole S'l-'14
1. LOCATION OF INSTALLATli~N,orizcci Signature
//q/ Har//JIv Road
225 FIFTH STREET
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Snn/fr?J ISnu/1j
Address f?IJ, &rx c.2/(JI)Q
City &aek1j._ Phone.!fj,.,/-."Jri,7Ii'
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Supervisor License Number 171> :JL.F
Expiration Date /tP~/~ 9't:..
Constr Contr. Number (,,"'i/L/<j
Expiration Da,t.e
fo-;;2g-9t:-
Signatqte of Supervising Electrician
~~~~ .
Ovners Nanie lb n' 1f2:7 /"1-
Address In.in<1; (-1(00 n \ \m--il
Ci ty .j ,1'1ic(; Phone .~~- 'ltJ'14
OVNER INST~LATION
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
c;- - ::: - '7 fu ---fI-,l
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3.
COMPLETE FEE SCHEDULE BELOV
~t:~pv Residential-Single or
Multi-Family' per dvelling
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 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Ci rcui ts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
I
$ 40,00
$ 40.00
$ 20,00
$, 36.00
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