HomeMy WebLinkAboutPermit Electrical 1994-7-28
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owl,ng project IIll submitted haslhe following , 4ll,A> " , ' ,. ,
zon ng, end does not requlr. specific lend use ~~.,' ',.
apprcval. ELECTRICAL PERHIT\APPLICATION i'.\
Ci ty Job Number Cf4 \ \S{)
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
(),J .~ _._ Installation, Alterations or
Electrical Contractor"/A:N&::'tc. ff.1t.Y~ CU:Lmlrelocation: '
I~G
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
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225 'FIFTIl STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-~l~9
OFFICE: 726-3759 '
, Authorized Slgnatur.
Zonln\,
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LEGAL DESCRIPTION
/A JOB DESCRIPTION
(~I7'I Moe/I- ~Fla;
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
Address ;J 7.;J..1
C ~D i...,.-
atll'-/l.u:...... lfV'Jc...
Phone bg>g -;;J-t.j rfl
ZCfo3 S
Expiration Date 1/)~/-'15.
Constr Contr. Number gCJ?1./-7
Ci ty /G/;.6AJ€:"
Supervisor License Number
Expiration Date
3-17J/S
J;::~er:L2g Electrician
Oo"m N"'~ ~~1- o.
Address~~~ ,~~ ~ '
CitY_,$fJ-<-J f'( Ph~e=rzy,,=)l5O
OlINER nJALLATION '
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
,
~~~~::-:~YJI~~~~~~~~~-----------
RECEIVED By:'\..!.t Y.\ - . I
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~~~~~ ~gg SCITEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
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Items
Cost
Sum
lOOO,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
$ /,0.00
I
5o.e
$ 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
/ $ 40.00
$ 55.00
$ 80.00
volts see "B"
d6.~
above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or vith Service
,or Feeder Permi t
$ 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 $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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