HomeMy WebLinkAboutPermit Electrical 1994-5-9
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9 following pro Bet a9 submitted has the foilowil1
zoning, and does not requIre specific It'ind use
approval.
225 ,FIFTH STREET Zonina C. e,.
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 72(jJIJilf,cl 5-q-q'(-
OFFICE: 726-3759 Authorized Sign~tura tJ.f\!.
1.' LOCATION OF INSTALLATION
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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 star,ted' within 180 days
'of issuance or if work is suspended for
180 days.
......, "(' /177')
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 0 <:\"n,-fm/'('jecuy,'t~
I
Address PI) ~ 021/){JQ
City [; J,,4 #? fl. Phone L/6 /-.5(;, 78
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, Supervisor Licen.se Number L7jl) JLt::. .
Expiration Date
1/J-I-ClC,
;
Constr Contr; Number 05/L.j.Q
Expit'ation Date
0-:-dfl-:-9b
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number
",.
CBHPLETE PEE SCHEDULE BELOV
'7-1~~5J
*
unit.
Sum
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
5,. SUBTOTAL OP'.ABOVE
5%'State ,Surcharge
TOTAL. ' ",.,
"... ,:.... ;......
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or' Feeders
Installation, Alteration or Relocation
or less
t<>400 amps
to 600 amps
amp~.or 1000 volts
$ 40.00
$ 55.00
$80.00
see "B" above
$ 35.00
$ 2.00
The installation is., being made on,
property.I own.which is not intended
for sale, 'lease ot'rent.
,Pwne!s, Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Puinp or, irrigation $40.00
Signl,6utlin~Lighting $ 40.00
Limi t,ed Energy'/Res$ 20.00
,Lilliited Energy/Comm ,', $36.60 ~
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
200 amps
201 amps
Signature of supervising Electrician Over' 401
D J........-... Over 600
(V1,t,k." VY1~1 /
,~ owners N~e, B1\tN,f)~fl151LQ1)dt)f\~ Branch Circuits
" . tr\o...",,1 \'""J 11 ri. - \ New, Alteration ot Extension Per Panel
Address .\\J.., \:;,JU'I'- ,-Y IA ~ " ",
f ~'V ro ; l\, . , ' 'One Circuh'
City11)\llA.JiA l MPhone ,Each Additional "
, J. , U. r::::...C^?/ Circuif,or ~i'th Service,
OVNER INSTALLATION 0.,J.) or FeederPermi t
.' "
DATE:
RECEI~ 11: '
RECEIVED BY:
5" -5' - j'</.
/~
B.
Services or Feeders
Installation,' Alterations
or Reloca ti.on:
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
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