HomeMy WebLinkAboutPermit Signage 1994-1-24 (2)
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rOVal. Oes flOI ':: S"O"'itt. e ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET -quIT. s .d h,," th 4ilJ;{ ~
SPRINGFIELD, OREGON 97471 <:0". #K;peC,:iC1 ,efo/!o._ n
INSPECTION R;EQUEST: 726C37~9 (,'?;3,--' ~fI" 'Ci t)PgJob Number ~\
OFFICE: 726-3759 .t, , --- -~ . .
_ <""o,~o~ CU." , -- . 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION -'...u..; H../
5':t;'/ s ~.:- <,f. . ---~._~. New Residential-Single or
- ----Hul~-Family per dwelling unit.
\ ,Lfm~~~ D,~3C'f) Servic-e--lncluded: Items
JOB DESCRIPTION
"
J' .
. IJ)",!F ~r/I/11
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor 5vn .~~ S~~<. or Relocation:
Address 'if'551'; o;lI~u /-n.
.
City ~}'<~,.
,
Phone 7~~ -7//7
Supervisor License Number ~<.. <..I
Expi ra t ion Da te /c ~J - "j c.,
Cons t r Con tr. Number "7rO '12- 4.-
Expiration Date 7-/(; - ~"I
Signature of Supervising Electrician
~~ /::;.u.-'1:'-#
.~- /
Ovners Name .!;J;.;'A 711 ('(' l L ~ t:I (~
.
AddressJ.- L-17 A,':", l,-,,-~J. 5.c:
, . -
Ci ty..1t1.L1'j,/uM Phone '7 I{ {., -II t> {..
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------r~2f:'?:1~--~---------
RECEIPT I: (JI. i-+;:ht- J -
RECEIVED BY: B) ily) 'y +-
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
Sum
$ 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
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 "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting /
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
. .
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~
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