HomeMy WebLinkAboutPermit Electrical 1994-4-15
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SPRINGFIELD
The fOllowing project ~
zoning. and does not ~ s~bmllted has the loll .
225 l' J.UD STREET approval. squire specKle lan~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZoningL/JII r Of\1'f'V\An
INSPEctION REQUEST: 726-3769 . . Ci ty Job Number . r\ j\"'\'-\
OFFICB: 726-3759' Dete 4- I ~ -q'1 . .
Autho . 3 COMPLETE FEE SCHEDULE BELOV ~
1. .fO....~0\L-.9_ OF ~.N N,S:I'. ~~IO"':lZed Signature.1LII1.-Ao.
~~l ) \ ~ \(\ kA , New Residential-Single or
Multi-Family per dvelling unit.
\('\~FACRIxr:gll!J O~~ Service Included:
. I( }:;l.. Or-J.,. t X - : L.J lr'. 1 1 It ems Cos t" Sum
-
~O;~D.~~ION -. _ rr. 1000 sq.~t: or less
\. ",--:\.,-.:" r~ '__.~ ~ Each addItlonal 500
r'~' !)o :(N\IT""':;"'Ni V\\J \J,r ~Sq. ft or portion
Permits ar ~-tra~terable and expire thereof .
if work is ot started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
l80 days. Service or Feeder
!
2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty ElIGENE
Phone 4A~-Oqa2
Supervisor License Number ~s
Expiration Date 10/I/95
..
..
Constr Contr. Number 04296'~':"
Expiration Date
12/IO/94
. Signature of Sup~sinY~ectrician
.~-~
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Owners Name ~ QX,\ \ )"S,~~1'\i) .
Address '\'C:() (\t\()J'{\~..s
City fJ OIL? f\LPhone(3iQ -18~
- (\
OVNER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-------ct~1~-~~-~---==-=-~---
~ RECEIPT': - -- I'. _ I I a ~) I ~
l ') RECEIVED BY: k \ J.. Y A. j -
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
60l amps to lOOO amps
.Over 1000 amps/volts
Reconnect Only
S 85.00
S 15.00
S 40.00
S 50.00
S 60.00
S100.00
.SI30.00
S300.00
S 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 40l to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
S 40.00
S 55.00
S 80.00
see "nil
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
S 35.00
S 2.00
not included)
S 40.00
S 40.00
S 20.00
S 36.00
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