HomeMy WebLinkAboutPermit Electrical 1994-7-14
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225 FIITH STREET c ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Oet. 7-14---( 'f ('1/1 0/10 (
INSPECfION REQUEST: 726-37~Slgn,alur. !\.r/'- City Job Number ~m n ()~
OFFICE: 726-3759
3. COMPLETE FEE~SCHEDULE BELOll .
1. Jr~OfkOF ~TION ~
~V\ ~ \. )\ \ \\. '1 t 1\ \.. \\ 1\. A. New Residential-Single or
. ' ' - Mul ti-Family per dwelling uni t.
Service Included:
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Permits are non-transferable and expire
if work is Qot started within 180' days
of issuance or if work is suspended for
180 days.
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~;:-:~---~~~~~---\.~~~~
RECEIVED BY: . ' ) o' "-..-1-
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq, ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACfOR INSTALLATION ONLY
Electrical contractoJ'xl Q f>.5
Address~ _?-.?? 1 rrctulH '0, c& Q7lj(
Ci ty C4J J Jfl Phone <?'cUn ~~ 4J
"~' j ('~ f' Ie- 601 amps to 1000 amps
Supervisor ;{cense Number ~ k- ~ Over 1000 amps/volts
\ ~ . \ .C C. Reconnec t Only
Expiration Date \)1
Cons tr Con tr. Number '1,4 I J _
'(O~\q.~~
. ~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
tur~f s~r;::ing Electrician
ff-A A:5 .
'" ~' l\' /\. f} J-JII ",/) ~~ r?jnch Circuits
Owners Nam (7 U'n JLA~IJ,ULl~,.
~ f\ ~. 1\ New, Alteration or Extension Per Panel
Address~., ~ \ "-7'1/ f\c::I)/_ One Circuit i $ 35.00 :3S..(j)
City (~ Phone lIM(l'~~ Each Additional
. Circuit or with Servic~ ~()C)
OIINER N LATION or Feeder Permi t ~ $ 2.00 ,
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
volts
$ 40.00
$ 55.00
$ 80,00
see lfB"
a l)'(j'V€
no t included)
$ 40,00
$ 40.00
$ 20.00
$ 36m
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