HomeMy WebLinkAboutPermit Electrical 1994-7-19
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The following project ... aubinmed """ the Iollo....ng . -
225 FIITD STREET zoning, end doea not requlr. epe<:ifIc land lIihECTRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477epprovoJ. 0./1 / /-J JS>?"l '7.2
INSPECTION REQUEST: 726-3769 Zenina U Ci tyJob Number -z"Y-V'C/ /y
OFFICE: 726~3759
Dote ?_fl-4<.f 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION .OF INS~ALLA~/triZedSigl'.ature7-1'1-'11 .
..,(,~ ~~ A.New Residential-Single or
" Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
J7L:JZ 32.... ;]' J n2..2.ClO Items Cost Sum
JOB DESCRIPTION
-7&--..0 j=iI><- /" .- "';; 7:
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 ~~ .~~
Address,Pa ~~x. //"J?4Z.
City U~P//
97-124
Supervisor License Number
q,~4-~'f'2.tp
.
'VA
Phone
Expiration Date
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service.or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
. $ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr.Number ~~~l)
Expiration Date 2/".r
S. f "..,c,~~l '.1"
'/ 17~0 ~.~~ 4~'~~T_"; 0.)
ow~e~~_h~~
Address
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
200 amps or less ~ $ 40.00 ~~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "Bn above
D. Branch Circuits
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
------------------------~~~~----------
DATE: 7-/7-$''9'-'.
RECEIPT ft: / '.? ~ $5 -;Y-
RECEIVED BY: ~~
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci.rcui t
Each Additional
Circuit or with Service
'or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
S
+/) .00
~ gO + I. ~o (J?,
'14 *'0
40.00
40.00
20.00
36.00
+3/"'U