HomeMy WebLinkAboutPermit Signage 1992-12-15
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The following projgct as submitted,hes Ih~ foil 'JtI
onin and dOGS not reqU1:'G specifIc Ian use . ~..
~,ppro~o1. ELECfRICAL PERMIT APPLICATION
97/,n C C q ill1tqQ
Zonina
726-3769 City Job Number
Date r?-/ S---~~
Authorized Signatu;\,.S;cOMPLETE FEF. ~J:IIEDULE nELOV ' *
A. Ney Residential-Single or
Multi-Family per dyelling unit.
~~I Service Included:
(JJrI ) Items Cost
225 FIFTII STRlmT
SPRINGFIELD, OIlEGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
l3tz~ K~ I r-J S,
t l:EfOL ~~342i
f\ Jpn DESCRIPTION
f.. U ~/V\.
:ermits ~e non-transfer~ble and expire
if york is not started yithin 100 days
of issuance or if york is suspended for
100 day::.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd lIome or
Modular DYelli~g
Service or Feeder
;.
Sum
$ 85.00
$ 15.00
$ 1,0.00
2. CONTRACfOR INSTALI~TION ONLY n. Services or Feeders
Installation, Alterations or
Elcctrical Contractor ~t-.I ~.s.(d..l6 Relocation:
Addl:ess '2D4 J~~N oS,
Ci ty G()(,;
Phone ~:>--17f:/'1
Superv.isor I.i cen::e Number 43751
Expiration Date
10- f -q;3
200 amps or less
201 amps to ~OO amps
~01 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
$ ~O.OO
Con::tr Contr. Number ~18
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Ey.pi ra tion Da te ..$-1-13
Signature of Supervising Electrician
&./ R',t2I...;--:tY .
Oyners Na~ Jl\Q) 0 ( )
Address ,e::l)~~ rAt) ~ ~
Ci Iy 5-(),!-/ ~ Phone
OYNr.~ JNSTALLATION
The installation is bcing made on
property I oYn yhich is not intended
for sale, lease or rent.
Oyners Signature:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Oranch Circuits
$ 40.00
$ 55.00
$ 00.00
volts see "0" above
Ney, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted Energy/Coml"
One Ci,rcui t
Each Addition~l
Circuit or yith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAl.
$ 35,00
$, 2.00
no t included)
$
$
$
$
10,00
;;),a>
1J~~
40.00
40.00
20.00
36.00
~