HomeMy WebLinkAboutPermit Electrical 1994-9-29
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225 ru." STREET nlofoilo...lngproj.c1!15.ubmitledhd!Ljcnu;~ PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 zOning, and docs not require spaciilc land U'O a4\ fLLoCO
approval.' ..
INSPECTION REQUEST: 726-3769 ,) f"./J City Job Number '
OFFICE: 726-3759 > Zonin.uI)(C:--- '
1. ~~IJlfi 9f .w~T~LATIONDeto q~J..?]--qL..'f 3. COHPLETE FEE SCHEDULE BELOV
\ 0' IY ~ \ '\ \Cl l l\t.~1)lorl<ooSlgnatur.--M..vNew Residential-Single or
- MUltl-~aml~Y per dwelling unit.
Service Included:
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor/l1C/(c'IJ~e~l1$(~
Address .P.O', ~X //1
CityW~ ?7?~hone 71't,-4~$
Supervisor License Number 3?l1'4- S
Expiration Date /aJ -1-7'5
Constr Contr. Number tPf)&1t:>5"
~xpiration Date
3-/3 -9~
.
Signat~~ of Supervising Electrician
_ f/:,~./ 42.Y.-.d
.. own~rs Name~
Address\.arm,. \'\\t\ q'Y\v
City ~ Phone
OVNER"I~~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~~~-:~--~--;f!;.:y~~~~:~----
RECEIVED BY: -C1)ltl-A.,J ,
Items
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
Cost
:!f
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ~.~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
<6~
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
One Circuit
Each Additional
Circuit or with ServicJL
or Feeder Permi t \'
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 \~(f.. ~
5% State Surcharge V-.U( )
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