HomeMy WebLinkAboutPermit Electrical 1994-2-16
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225 FIITH STREET' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD,' OREGON 97477
_NSPECTION REQUEST: 726-3769
FFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
inS-fa{( $au. VI i-v
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
(" -;)g'-1h
Signatqre 0.{ supervi~ing :E1e;Jrician .,
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Owners Name )/t'adl-u V ner5
Address ,'5/,,/1) /YJar'YJ _~.f..
Ci ty' ~ri"!5-PiP tI Phone 1,.jtf-I::2(""'l
. 01lNER INSTALLATION . .
The 'installation is being made on
property I own vhich is not intended
for sale, lease or rent.
.
Owners Signature:
,
------------------------~--------------
DATE:'.- . .. ;? 7".6 o4:p 't' ., -.~:1i;;~
RECEIPT 11: //fi$27 ',"'..
RECEIVED nY:~~~
City Job Number
qYC5/9~
,
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 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
$ 40.00
. $ 55.00
$ 80.00
volts see "8"
above .
D.
Branch Circuits
New, Alteration or Extension Per .Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$. 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
I
$ 40,00
$ 40.00
$ 20.00
$ 36.00
,=y",'/m
5.
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Q, 7. X"()
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SUBTOTAL. OF ABOVE .
. , 5% State .Surcharge
TOTAL