HomeMy WebLinkAboutPermit Electrical 1994-6-10
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bmitle<l haa the following . .
225 FIITH STREET The following prO!ectt e. .~ire .paciflc land uoBLECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON 97471/'ning, and doe. no req , /
INSPECTION REQUEST: 72G"-Pjff{~'. ~~ / City Job Number q'-(ogb7
OFFICE: 72G-3759 zoO/no .~'J
O~e 11\.\oq~ 3.
L LOCATION OF INSTALLATIOlf'd' Q\ f1(
2Dq{) ()lLyn-P ICuthorizod Sign ure_
LEGAL DESCRIPTION /;03 O)S 31 tx:J770
~ w-e. 3f.(v..q:>~ o.R.""
JOB DESCRIPTION
~~ \D~~te1C
F/.O.IBN.:>I:'" :1:- Bf..U..\.PEl':..CI'..~ J::ID€:"
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for:
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor EDbE/\l€ aa~ 11\lC"
Address 12.0 MOt-li2''{)!'':
Ci ty t~~~.JJC'
Phone ~44-- ~ '$/..1
Supervisor License Number IN'lL S
Expiration Date
If). '1 -;;-
COMPLETE FEE SCHEDULE BELOV
A.
Ney Residential-Single or
Multi-Family per dyelling
Service Included:
Items
unit .
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
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
5---' $ 50.00 /dJ:::--
$ GO.OO
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number q/)ZDb
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date <~<7~
Signature of Supervising Electrician
~~tJ~~ ~
;vners Name_r McJVar ~{/,~~
Address
City
Phone
'OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~------~::~~:9;;r--~--------------
RECEIfI ii: /.h~.<~ (r/~) .
RECEIVED DY: 1~3hd'
t~ -S r ~ - (
200 amps or less
201 amps to 400 amps
Over 401 to GOO amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "8"
above
D.
Branch Circuits
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 Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
'3 % GTV 5U.~H 1'tRttE.
-r~ I.-
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
S 20.00
S 36.00
IM~
S~
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