HomeMy WebLinkAboutPermit Electrical 1994-9-22
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SPRINaO
The following project as submitted has lhe following
loning, and does not require specific land use
approval.
225 l'.J.t.u STREET L. I! ELECTRICAL PERMIT APPLICATION
SPRINGFtELD, OREGON 97471on;n9 f)v , ;/
INSPECTION REQUEST: D8Il26-37~ 'IL ~ a,<-t. Ci ty Job Number 94, (I 2-/
OFFICE: 726-3759 'r.\ ",1'-..
, . Authorized Slgnn1\Jre I-' . I . 3. COMPLI,ITE FEE SCDEDULE BELOV
1: LO~ION OF INSTALLAT~qN
. 3D 5' ~T _~~J A. Nell Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
I ~A 2.. ~"" 2./ CJ~~l/'D
JOB DESCRIPTION -r-
41,&1(.&t!!! L,~r.
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 contracto~~rr-~~_r:l~
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......... .11- 0_- _ ,.
Address c.:. '\). ,_0 - ;z:..-<1-:~.F_
City. PH (,Ir.-l\.1 E..
72..-'1 - 600
cP-\"iS (J'8-/f.a
Phone
Supervisor License Number
Expiration Date
to --1-9<=')
Constr Contr. Number (03\"J1
Expiration Date 12--2i-CJ.3
Signature of Supervising Electrician
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... f
, Owners Name ~~ S~~-~
, 1 ~'~.J
Address
City
Phone
,OVNER INSTALLATION
The. installation is beh\g made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
"
DATE:
RECEIPT I: .
RECEIvED BY:
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Items Cost Sum
1000 sq.ft. or less $ 65.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd !lame or
Modular Dllelling
Service or Feeder $ 40.00
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
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "0"
above
D.' Oranch Circuits
Nell, Alteration or Extension Per Panel
)
-.li..,..o
$ 35.00
One Ci rcui t
Each Additional
Circuit or lIith Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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