HomeMy WebLinkAboutPermit Electrical 1994-10-26
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225 FIFTH STREET zoning, end do;~ ~~ ~ .~btnhtetf /\QftlIaIl&Ji~ PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 SPl'roval, sqW88pecffic land U"" (j) A \ \ 110
INSPEctION REQUEST: 726-3769 lonlno...s L r . City Job Number ~ "\ 0 U
OFFICE: 726-3759
1. 1P'i4UOK.. OF ~~!;1J b!llo~~. 0 -.;:> ~ -$'..<:../coH'Pi:ETE FEE SCHEDULE BELOW
~~l) ~~\ I w j)~sidential-Single or
. Hulti-Fam11Y ver dwelling unit.
Service Included:
I.~ D~~l1ION
-J.:..JL.,)?-. I N..L)
~~IO[}].tX:P >
Permits are non-tr~nsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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01111IL
2. CONTRActOR INSTALLATION ONLY B.
Elect~ical contractor4J?"/A" cfik-#/C
Add ress .J 7 $' ~ ,//:".POf.-.".,./'
City ~/.u:/ Phone ~J/~-?2??
Supervisor Licen.se Number ..,75 -;2"-5
/t)-73
/ 7:J':s- 2-
/ tJ-f .3
Expi"ration Date
..
Constr Contr. Number
Expi"ration Date
Signature of Supervising Electrician
. ~/~.~~~ .
own~a'l!! ~.. _.
Address~~~t')
CityflJTO ~hone
OWNER ALLATION
Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40,00 4[)
$ 55.00
$ 80.00
volts see "B" above
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
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
C.
200 amps or less
201 amps to. 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
I
New, Alteration or Extension Per Panel
9d One Ci rcui t
\. , "1;5<" Each Additional .
~ Circuit or with Service
or Feeder Permit
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
UJ . Z/J:J :-Cf.:J'. -:-1 ~.
RE......L{'. I: J.-y'> '\.:' ' .......~
RECEIvED BY: ~ ~ ~ /
-....L9Gw ~W-/)6.~~~
DATE:
SUBTOTAL OF ABOVE
5% State sur~rKe
Ill?,,'" 9D
$ 35.00
$
2,00
not included)
$ 40,00
$ 40,00
$ 20.00
$3(0
40. _
NGU
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