HomeMy WebLinkAboutPermit Electrical 1994-2-16 (2)
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The follo'o/ing project as submitted hae the following , !:i4.
225 FIFTH STREET zoning, and does not require spec~ic land usELECTRICAL PERMIT APPLICATION
SPRINGFIELD,' OREGON 9747'proval.
INSPECTION REQUEST: 726-3769.;:oninn Cc..
OFFICE: 726-3759 L. " & III/> kiL.(
1. LOCATION OF INSTALLA-T,l00J:od Signature
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~nl11rn /
Address J?/1 ~ J(' r..') /()()q
City ;;:';-jW'o- Phone ~/-!51n 7f?
Supervisor License Number 17/3 ::JL-.E
Expiration Date /cJ-/~ 9'?
Constr Contr. Number . (o/=;//.fCJ
Expiration Da.te
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Signat~e oi supeTVi~ing Ele;;rician
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Owners Name -.ikad-l-u V neY5
Address 5/" (I) /YJa r'YI _~..f_
Ci ty :~YJr/r:5.p(P tI Phone 1ifq....:.../.::J..b')
OYNER INSTALLATION
The .insta1lation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: :7 7:k. ..". 't' .
RECEIPT #: /fR~7
RECEIVED BY: /7f~
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3.
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A.
City Job Number gY'~./9r
COMPLETE FEE SCHEDULE BELOII *
New Residential-Single or
Multi-Family per dwelling 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
S 40.00
$ 55.00
S 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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 I 5. 36.00 ,~.M
5... SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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