HomeMy WebLinkAboutPermit Electrical 1994-2-24
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The following project es submitted has the following -
225 ~...~ ~u. STREET zoning. and does flm requir. spec~ic land use ELECTRICAL PERMIT APPLICATION b
SPRINGFIELD, OREGON 974'1'I"ovoi. ITA An-:;zn
INSPECTION REQUEST: 726-376~oning LOO Ci ty Job Number '-"IILJ / ,V\
OPPICE: 726-3759 ,;)1 \ ". ,
D'lt,,~~l:X:/- 3. COHPLETE PEE SCHEDULE BELOV
1. LQCATAON OP I ~ET~J.~fMkd Slg,1l\lJr. ~
'fl )G\ \ () vonr \ f1:lf 00 A A. New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
\~~ffl\fION Offi{'fj
JOB DESCRIPTION . I J
'~~ U ~/4'~ -4. pc= 1./.e4\
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 B.
Electrical Contractor CtfJm.~ avftt;'L-
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Address P,O \ ~ 2.(0'(
City <;,tClc:!.. Phone 7'1'/ --(flO~
supertsor Licen.se Number 3~~-S
Expi ra tion Da te TO / l. <{ I ~ <)
i c.
Constr Contr. Number ' 2J)~ 2. 'llf ""-
Expfration Date
/6/1...'1("1)
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Signature of Supervising Electrician
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Owners Name rl1rs M ......>-~ cr.!(/e Jk
Address 10~ (, /If().t..'t€, Slh.eJ
City 4rf.- (d. Phone '\) {,-'f'1'f(;
oVNEA INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~~:-:~t):1~~------~-----;
RECEIVED BY: .., - r ~/1 L '{ J-..-/
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Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
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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
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 "B" above
D. Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00
400
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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