HomeMy WebLinkAboutPermit Electrical 1994-5-17
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'the following pro. ot requiro specific Ian
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225 FIFTH STREET _ i I'i)/t/ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zon\n~, !
INSPECTION REQUEST: 726-3~C::D-~ I{ - Ci ty .22.b Number '9 '7/ '2t::: 2-
OFFICE: 726-3759 Aulhorl%edSlgnature~OMPUrrE FEE SCHEDULE BELOY
1. LOC4\TIJlN OF INSTALLATION
IQ04- -.Jrr\~l\Nj,rt, (, If\! \) A. New Residential-Single or
d Multi~Family per dwelling unit.
. LEGAL DESCRIPTION' Service Included:
-/P~ ~..-t!,)Z-~"=it ~ ?~~
- I
JOB DESCRIPTION I
_".,t~ > hO(ft,~\Irmr) II II/OKw'
Permits are non-tra~sferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
Sum
Cost
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor.f..J,~ P ~.crrrtl/l ,.4tm,
I ,
Address P,O. ~ 14-21-
Ci ty~ Phone 7 J././"-'1..aJJa
. superv~sor LQgen.se Number 110 g".'\
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
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
10 -I-t\c:;
n ~i.i.q
q - I -q J/-
Expiration Date
Temporary Services or'Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number
$ 40.00
$ 55,00
$ 80.00
see uB" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps -----
Over 600 amps or 1000 Nolts
Expiration Date
Si;:17e, :~2;;::Z;:~
· o~-;;a:e- iff~) ~
D. Branch Circuits
New, Alteration or Extension Per Panel
I q 04- t1n~.n n'\d ' lLJo..u
Q' '. ho'ni~ J!t,J1 ~
Address
$ 35.00 .~:1.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
City
$ 2 , 00 .1.,Qo
OYNER INS ALLATION
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
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
::Vl.DO
1_....'H
.:N::9 'C,
5. SUBTOTAL OF ABOVE
~State Surcharge
2,6/0 TOTAL .
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DATE:
RECEIl"r ,:
RECEIVED BY: