HomeMy WebLinkAboutPermit Electrical 1996-5-21
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The followlng project as 8ubmllted haG the
zoning. and does not require epecmo land uae
approval.
225 FIFTH STREET zonlnp' c.c... ..LECTRICAL PERMIT ~PLICATION4
SPRINGFIELD, OREGON 97477 Dale SI..:JlI CJ& l Or;."fJ"
INSPECTION REQUEST: 726-3769 . r' cC Ci ty Job Number ,Q ~ J/':'
OFFICE: 726-3759 Al." ..~.JSlgnalun> ........ I
3. HPLETE FEE SCHEDULE BELOII ~
1. LOCATION OF INSTALLATION
. 5727 Main Street A. New Residential-Single or
Multi-Family per dwelling unit. .
Service Included:
M~,~~-YTrrf~1 riJ
JOB DESCRIPTION
install (l)exterior & (1) interior siRn
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
Electrical Contractor Heath Signs
Address4644 SE 17th Ave.
Ci ty Portland
Phone 232-2620
Supervisor License Number 31i~Sgcls
Expiration Date 10/1/96
Constr Contr. Number 64263
Expiration Date 2/9/97
Signature ~f ,Su~rvising Electrician
_il ~ 4tt>.to .
Owners ;~ Q:Klll'O ; , ,
Address
City
hone:J o1q.,~/q1
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners. Signature:
DATE~=:------~~~l-{{r~--~-~--~~-------
RECEIPT II: - J..I -----;?::)\\ri\ II
RECEIVED BY:~~- ~,L
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
.B. 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.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
"
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
,"1'.
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit
Each Additional
Circuit or wfth Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting(2)
Limited Energy/Res .
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
\ $ 36.00
PO.cD
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