HomeMy WebLinkAboutPermit Electrical 1994-6-28
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'Tho following prolecttB~uir. specKle land uee o!:'.n,
zoning, and doas no r--. . '-"!'
225 FIFTH STREET approval. /I 11 ELECTRICAL PERMIT APPLICATION
SPIUNGFIELD, OREGON 97l,77 Zoning. \:..1.:./ ti 110 q -;z...' /
INSPEc;TION REQl1EST: 726-3769 1_ Ix '14 City Job Number -, '-t J'-f
OFFICE: 726-3759 D~o ~'--/-7
1. LOCATIONI6f AtjSTAL(ii'J:W;\ori1odSiP~u,r. ~'f"v9Hn~u:. rr... SCUEDl1LE DELOY, '~
I ;)Lf{() (). I r it1fYJ-- /cJ{)A. New Residential-Single or '
'. ' . CJ . Hul t i-Family per dwelling uni t. ,
LEGAL DESCRIPTION Service Included: '
l7 0 ?31P~z... 03e:j{) , Items CostY Sum
~s~Scm ~ l-II QlbYG
Permits are non-transferable and expire
if work is not 'started within 180 days
of issuance or' if work is suspended for
'100 days. ,.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY D. Services or Feeders
C$ q?/\ n. 1" Installation, Alterations or
Electrical Contractor L, I~) c71'hv (1) Relocation:
Address t~to Do luOQ M,'l]) /JJ b . 200 amps or less
Ci ty ~ v( b101e Ph;ne U~'-S5 V~ ~g~ ::~: ~~:gg ::~:.
601 amps to 1900 amps
Over 1000 amps/volts
Reconnect Only
Supervisor License Number ~/_~- 5,~
Expiration Date
/0- J. <tt.
q~lqV
)--/ ~')
Constr Contr. Number
Expiration Date
Signature of Supervising Electtician
-b 1Lc~~ ~. ~
Owners Na~~ 'K\r\,
\C)~
Address
CitY~~PhOne
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease Qr rent.
Owners Signature:
~~~~~-----(lJ~-~~~CJt~--------------
RECEIPT fi: I 0' _ _ \:i~
RECEIVED DY: ~
, ':$ 50.00 ,
S 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 amp~
Over 401 to ,600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "D"
above
.'
D.
Dran~h'Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit I $ 2.00
E.
Miscellaneous (Service/feeder
, -Each in'stallation
Pump or irrigation
Sign/Ou tline Ligh ting }O
Limited Energy/Res
Limited Energy/Comm
not included)
, 5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00.
40,flJ
.J-. 0~-
()' Un.)
I}P
1:\;1;'
t::trr
SlIDTOTAL OF ABOVE
5% State Surcharge
TOTAL