HomeMy WebLinkAboutPermit Electrical 1994-11-15SPRINGFIELO
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225 FIFTE STREET
SPRINGFTELD, OREGON 97
INSPECTfON REQUEST: 7
oFFICE: 726-3759
1. LOCATION OT
CA
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ELECTRTCAL PEru{TT APPLTCATION
A'"iitci li*s,: 'j
4vt7b<-
JOB I
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspented for
180 days
2. CONTRACTOR INSTALLATION OT.ILY B.
LEGALDESCRTPT.TON. / \
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Electricar contr ^.r.rkur.o/B ) #frfa o
Address |fU W, llu,- rt'l, c; {
{u r(Ci ty Job Nunber
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/OutIine Lighting- S
Limi ted Energy/Res
-
SLimited Energy/Comm ---f $
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
3. COHPI,ETE FEE SCMDULE BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modul-ar Dvelling
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or FeedersInstallation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps
-60L amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voTEs see rtBrr am
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Serviceor Feeder Permit g 2.00
?
PTI
S
r
Ci ty pn"". bf 6- I I fl
Supervisor License Number -71\ \
Expiration Drtu
C.
Constr Contr. Number
Expiration Date
s ture of rvising EIect an
00
00
00
00
00
00
50
60
100
130
300
40
$
$
$
$
$
s
0vners Name fu* sds-Jlwl%5 (.{v..S/- o
Ci phone 1L(1 lofr
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.t
0vners Signature:
DATE:
5
not included)
40.00
40.00
20.00
36.00 E
b .oo
RECEIVED
Address