HomeMy WebLinkAboutPermit Electrical 1994-10-17
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The folle>wlng project a. $ b It! d hQ ,
zoning, and doe. not req~'remSp:Ciflc "anthde toll
approval. Use
225 ~"'~UJ STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning:d'De.- q4-\ \qIJ
INSPEctION REQUEST: 726-3~ IO-17-9Lr . 'City Job Number "F)
OFFICE: 726-3759 ./
Authorized Signature ~OHPLETE FEE SCHEDULE BELOV
1. \ I LOGATIm! OF ~ALLA!.~N ;... 'D"..
.\ 0 lo~ \ 9 n 'j\l OJ t...Q.L
1~~lON \\rJnC)
JO'B DESCRIPTIO~ . A
~~- I Q Jl 5LO) ('"VI Q,Ul\ i'r\.
Permits are non-tra~erable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
2. CONTRAcrOR INSTALLATION ONLY B.
Electrical contractor~"/A ~#/C
Address :l7$'? ~~~a/ '
City &r.u:/ Phone. ~~-..?2??
Supervisor License Number .,25 -;2"-5
, .
/()-73
/ 7;j~ L
/ tJ--9.3
Expi'ration Date
.,
Constr Contr. Number
Expiration Date
,
Signature of superv~n~ Electrician
/2-//~ ~___~~
ovn~~QhQ ~~r
Address \ t 0\ n::\ \ fu I -\ r\ 01\ ~,.
Ci t~'\l" f\~hone ~
O~ INST~~
The. installation is being made on
property I own which is not intended
for sale, lease or ren t, '
Owners Signature:
DATE:
RECEIPT I:
RECEIvED B':
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A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
Cost
Sum
P5S
~
1000 sq. ft. or less I $ 85,00
Each additional 500
sq, ft or portion \
thereof $ 15,00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
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
$ 50,00
$ 60.00
$100.00
$130.00
$300,00
.$ 40,00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
D.
200 amps or less
201 amps to. 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 voits
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BII above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2,00
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40,00
20.00
36.00
not included)
5.
$
$
$
$
III)~
F) _..
:J, lYl
4f ID5,CO
SUBTOTAL OF ABOVE
5% State 'Surcharge
TOTAL