HomeMy WebLinkAboutPermit Electrical 1994-4-28
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225 FIITH STREET zohing. and does "oi ;equi~e "pac Ie I EI,;EC'l'RIl'ilAL PERIlIT APPLICATION
SPRINGFIELD,' OREGON 97477 approval. " ~"u use
INSPECTION REQUEST: 726-3769 Zonlna r ,e... Ci ty Job Number 9..~5'9o/
OFFICE: 726-3759 A fl
Oete ~ 2 0 -Cj If 3. COMPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION":....,,.. ,," Sign&j'Jro t.J'M .
t,(,,() lJ1a'-n sf A. Ne\l Kesloem.i..l-Single or
Multi-Family per d\lelling unit.
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are nan-transferable and expire
if \lork is not started \lithin 180 days
of issuance or if \lork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor, _~n"+rt'J/
Address1/), ~
City ?;;A.J~/viI
Supervisor License Number /7/3JZE'
J J/JLLq
Phone 'IM-6rn-zL
Expiration Date /~-/--J?r.;
Constr Contr. Number 05/1/9
Expiration Da,te c:, -;)8- 9(,;,
Signat~e of Supervising Electrician
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O\lners Name fhp ds<,{: /~.fI'I'YpVt.$!;
Address ,~vn f'
Ci ty Phone 7J/? -- Jf/? S
OI/NER INSTALLATION
The 'installation is being made on
property I O\ln \lhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: '?'-28-1'S"
RECEIPT 11: /7$/<
RECEIVED BY: /~_~....
, P'/
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D\lelling
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
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Ne\l, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or \lith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm ---L- $ 36,00 ~
5. SUBTOTAL OF ABOVE ,~(n' (J{)
5:t Sta te Surcharge /, fi'O
TOTAL ,,:/7. IrD
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