HomeMy WebLinkAboutPermit Signage 1994-10-11
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225 FIITO STREET T". 'n"""'" ','0"<1 as 6Ubmltted hi.sthBLEGTRICAL P'ERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 z;': ". .., ;~requlreepe<:ifIcla',' " (74\ Q "':)Q
INSPECTION REQUEST: 726-3)69' f.U Ci ty Job Number '"'\ .: ) CO)
OFFICE: 726-3759 ',l...-
1""""11 '1 3. COHPLETE PEE SCHEDULE BELOV ~ '.',"
1. }PJ\AnQ~ o~..},t{SI.AIJ.AT~~'? - ,~ ,
,'~ \ 'f'-:) \ '\ '{ '_0 _ f~!ll~ra, A. f>>t.lO...lIllsitleRtia1-Sing1e or
Hulti-Family per dwelling unit. ~
\ ~~'\C~YON [,)lof\rYJ Service Included: Items Cost
,
~ DESCRC1I~O rt7r i rf} 0
permits~ no~-tr:nsf:rable 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 Contractord04J U"/~"I ~ (.,c Ir. '~
Address-P.o.&x ;););:).01
City>vc."...." '77VCI-l- Phone7J<7-S"/0Q'
v' ,
Supervisor License Number ~(}.L,t-::s
Expiration Date 10-7S
Constr Contr. Number 0;.5910
Expiration Date C'7~
Signat.ure of Supervising Electrician"
&J~/)A- (~7eL"
Owners Nam~f-f)(\ ~.Q,6,J~J.'.h " D.
Address ~~t n. 0\ 3~ 'tf\,\"
Ci ty ~ J+,P ~ Phone ~ IJOZ~
OVNER INbiLLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
Eili;.:~~;r:%7(;r{---
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
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
Sum
$ 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
200 amps or less'
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts se~ "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Ligh,ting
Limi ted Energy/Res'
Limited EnergY/Com~
One Ci-rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State S~~rge
T~L 0'10
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00't,()~
$ 20.00
S 36.00
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