HomeMy WebLinkAboutPermit Electrical 1994-8-16
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22.5 FIPTB ~.~. BLEC1'Rlci.L PERHIT APPLICATION
SPRINcFIELD, OREGON 97477 ql-I q ("/
INSPECTION REQUEST: 72~6!liowlng project es submitted has the f~~ Job Nlllllber 0 (()
OFFICE: 726-3759 I zonmg, and does not require'speeiflc lend use g , '
.. approvel. 3. COMPLETB FEE SCBBOULE BELOit
1.' LOCATION OF INSTAIfAT]:ON Zoning fYlOIL-. . '
.;-~ I tt:?,1r pf'<./ 0 P' IliA; ~. :\~v Residential-Single or
, , 'V~. ' v''''''' Hul ti-,Famlly per dwelling uni t.
, LI!GAL DESCRIPTION Authorized Signntur~ 11M Service Included:
JOB PESCRIPTItt '
///"-t:(,.1;. J '.... r....f
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Permits are non-transferable and expire
if york is not started within 180 days
,of issuance or if work is suspended for
'180 days.
2. CONTRActOR INSTALlATION ONLY B.
Blectric~l Contra~tor~.' d f3/.h)J."~1:..-c...
I '
Address;l'?r S W Xl_t7-6''''... L'":llA-#' 4:!! 5
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Cit{bJ..'h./J.< Phone'?,<-~/
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, Supervisor Li cense Number.:J t"O 4 - .s
Expiration Date' I a J I - 9.s-'
,I
Constr Contr. NUlDber-& ') "]~ ?
Expi'ratlon Date f~-~q- 9r-
'Si/~;p;t;by
,': ~ers Na,me ,I
I
Address
t
" '[hone.
Ol/NER INSTALLATION
" '.; I
The, installation is.. beirig IIl8de on
property,~ own ,which ~s not intended
for sale, 'lease or ~e~t. '
.~~rs Si~tu,re::,1
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i ~ I itJ{~ 1
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City
.' ,
DATE: ~..,
RECEIPT II: ' \ VI " J
RECEIvED BY: \tVI , '
~
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof, .
Each Hanuf'd Bome or
Hodular Dwelling
Service or Feeder
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
Cost
(
SUIll
",'"
$ 85.00~ ~
.c.-
$ 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 $ 40.00
2~1 amps to 400 amps $ 55.00
Over 401 to '600 amps $ 80.00
Over 600 amps, or 1000 volts"see "Bft above
D.' Branch Circuits
Nev, Alt~ration o~'Extension Per Panel
'oneCi~cuit: ,
,Each Additional'
, Circui,f'Qr ~ith Servl<:e
, 6rFeed~r., ,~~J'.mi,t ',' "
$ 35.00
'$ 2.00
E. Hiscellaneous (Service/feeder not included)'
-Each installation
Puinp or, irrigation'
Sign(Oil t~.i~e'Lighdng
LAmite~,E~ergyjRes
Lillii t~d,' ~n,~,r~/ColIII)I
5,. si.JBTOTAL Ol' ABOVE
5X'State,Suicharge ,
,..TOT~ .' "
.... . .;,., " ",' .
+ ?Ph Mt'{\'\{\ ~~
1994-05-27 17# ICl8"~ =
'.1
$ 40.00
$ 40.00
,$20.00
$36.60
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