HomeMy WebLinkAboutPermit Electrical 1994-1-25
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225 FrITH STREET ~o"" .:;;; Coot ~~qs~bmi~edh.. EbEC'rRICAL PERMIT APPLICATION
SPRINGFIELD,' OREGON 97477 . :""'1. 'doPOc;;;clonduso ",,",
INSPECTION REQUEST: 726-3769 Zon'ng_cc City Job Number q Ye>Dt!5c:>
OFFICE: 726-3759 [h:e-1_)-S.....5..Lr 3. COMPLETE FEE SCHEDULE BELOII ~
1. LOCATION OF I~STALLATIONthorizo:J Slgnal"r~--1?\:B..
dO/l-1 malf) A. Ne...~i-den.ti.al-Single or
Hulti-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION
/77!'Y~"3b-Y<, 0-::2 ~
JOB DESCRIPTION
/V7.5fa/l ,'S-'OA.r,-+y ,,<'II~+em
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 5tJhitr/)/ 5eo~n7'
Address p./). ~ :J //)I'R
Ci ty &JWP" Phone...!i/oI-607X.
Supervisor License Number /'7/3 ::rt..6
Expiration Date /()- /-"Jc,.
Constr Contr. Number '~~/l/9
I terns
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Cost
Sum
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
$ 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
Expira tion Da,te
c; /,2g'/9t:,
Signat~e of Supervising Electrician
1/& :2~~
Ovners Name Norm IS Anl'1'''''c::;,
Address
Same..
Ci ty Phone 7;<6 - ~3;l/
O\INER INSTALLATION
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:_.... /-;2 ~-'77
RECEIPT 1I:~q.
RECEIVED BY: /"":. " _
'/"
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
E.
5.
SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
no t i neluded)
$ 40.00
$ 40.00
$ 20.00
S 36.00
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