HomeMy WebLinkAboutPermit Electrical 1994-9-26
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The following project as submitted ha,; the 10110
zoni~g, and does not require specific land use
approval,
ELECTRICAL PERMIT APPLICATION
'City Job Number ~~/~~~
225 FIFTH STREET L'" IJ
SPRINGFIELD, OREGON 97477 Zonlnp' I./V ~
INSPEctION REQUEST: 726-'!fJ.R~ ('\ ""'--
OFPICB: 726-3759 ' , ' .'. . .
AUlhortzed Slgnature-/li'A ~OMPI.F.TP. FP.P. SCHEDULE BELOII
1. LOCATION OF INSTALLATION
. SE7S MAIN
. LEGAL DESCRIPTION
/7,,;;' :f';' ~ 2, C) 6 dLJO
. '
JOB DESCRIPTION
/(esl.J)CA} nlW... ,eE/IofP~l-/~710A/
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180. days. '
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2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor--DlXnM rl rrToT~
Address
1130 BAILEY HILL RD #24
City FIIGFNE Phone --3..44-~~a.5..-
Supervisor License Number
36145
Expfration Date
10/1/95 "
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number
..
fifiM4
Expi'ra tion Date
~ Q.1L.9;;
.
. Signatur~f superv~sing Electrician
. ,~-iJF>
Owners Nand'-p~~
Address
CitySV+=ol
Phone 74 1- 3JRS.
01lNER INSTALLATION
The, ins talla tion is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-------------------------r-------------
DATE: tt -"UP ~qLf ..
RECEIPT I: tlV6i\<J \
RECEIVED BY: ~. -'
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
,200 amps or less
201 amps to 400 amps
Over 40l to 600 amps
" Over 600 amps or 1000
D. Branch Circuits
$ 50.00
$ 60.00
$100.00
, $130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
volts see tlB"
above
Nev, Alteration or,Extension Per Panel
One Circui t I $ 35.00 3~
Each Additional
Circuit or vith Service
or Feeder. Permit ~ $ 2.00 ~~~--
Miscellaneous (Service/feeder
-Each ins talla t ion "
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
. TOlkL (!f1V5UJ?4M, 31Z
-Tirr-lt t-
not included)
$ ~O.OO
$ 40.00
$ 20.00
$ 36.00
t, 3 '!9.
..3. us.
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