HomeMy WebLinkAboutPermit Electrical 1994-3-23
The !c,Hcw'ng projoot 3S oubmit1~<j I,." '110 1\lIlOI'JIi1ij . ti,
225 FIITII STREET zoning, enti ,b~s nol f"qU:ro opo,;,;c !QOQ '''ELECTRICAL PERMIT APPLICATION
SPlUNGFIELD, OREGON 974 7'1Pprc>nl.
INSPECTION REQUEST: 726-3769 Zonina C l~....
OFFICE, 726-3759 ~/~~ I~"
D.13_~~ 3.
1. LOCATION OF INSTALLATJimlrizod Signalura_ ~
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LEGAL DESCRIPTION
-City Job Number 94032...""1
COMPLETE FEE SCDEDULE DELOV ~(
Nev Residential-Single or
Multi-Family per dvelling unit. .
Service Included:
It ems Cos t . Sum
JOD DESCRIPTION . I 1000 sq.ft. or less
-' N l-JrAI J.. fftlJr..kW\l(\\a..L.-nJ, w~y Each additional 500
, 'f sq. ft or portion
Permits are non-transferable and expire thereof
,'if vork is not started vithin 180 days Each Manuf'd Home or
of issuance or if vork is suspended for Modular Dvelling
'180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor i:::.l/1I":tJet::.lhN~tJ)~
Address fJViO OAK \?A-i,m 12-0,
City \?"uli~'e Phone~b
Supervisor License Number ')lS,,;- S\ (b
Expiration Date \ t',- C'l\ ,- 0.\.(>
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
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
:$ 50.00
$ 60.00
$100.00
, $130.00
$300.00
$ 40.00
Cons t r Con t r. Number t1 '7'1 (1 'l-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date "]..../ I It; te:;
/
Signatu~upe~ " ,Electrician
~~,~~"
~ ~
Ovners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I Qvn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED DY:
<-2?-),"!
/2/) ~ C
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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 "D"
above
-';~
,:;:
New, Alteration or Extension Per Panel
One Ci rcui t ..$ 35.00
Each Addi tiona1
Circuit or vith Service
, or Feeder Permi t $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
,E.
, 5. SUBTOTAL OF, ABOVE
. 5% State, Surcharge
TOTAL
not included)
$ 40.00
,~O~
::; LQ.OO
$ 36.00
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