HomeMy WebLinkAboutPermit Electrical 1994-3-11
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The, following project as sU,bmillod has lh" following
ZOnlog, and doea not reqUire apociflc lend .
approval. ..so
Zenina ,H'T
225 FIITH STREET
SPRINGFIELD, OREGON ~'T4-,1- //-11-
INSPECTION REQUEST: Ailtll6Fii3iil~nalure h tV'\
OFFICE: 726-3759
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..... ~ "(p ~ 1000 sQ. ft. or less
'-Q~..o~
~ ~ ~ ~ ~ Each addi tional 500
~ '~ ~,~ . SQ. ft or portion
Permits are non-transferable and~x~~ ~ thereof
if 'olork is not started within 180~a~ Co: ~ Each Manuf'd Home, or
of issuance or if 'olork is suspended;~f~ ~ ~ Modular'D'olelling
180 days. '1l iJl ~ ~Service or Feeder
'b. ~. ~ '9.: ..
2. CONTRACTOR INSTALLATION ONLY ~ ",,)l."(p ~vices or Feeders
/\ ,_p_ 77.". ~ ~~allation, Alterations
Electrical Contractor ftf..C.x::T ~~l~ ~ ~location:
Address \q;w rzPi7lf- 5J1: ,~~t~s or less
City ~)\(RJ) Phon 7~7-ZZB 40l~~ ~~ ~gg :~~~
~ ' 7 '?(fD Q 601 amps to 1000 amps
Supervisor License Numbe~ ~.-~~ Over 1000 amps/volts
It;---. _/I () ~( . Reconnec t Only
Expiration Date V II~ C.J
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"~"",""~r.v;'/2",Tl"
~") to 0 I I) { (./
J -rt3~ <S hI1NJ () 0
JOB DESCRIPTION
Constr Contr. Number
Expiration Date r~,-/-Ljl~
S~gn~tu~e o~ .Supervising Electrician
~nbJJI./V:'
I \../-8 aJ / E1tt ~ riM'-/- /'t'/-;' D,
?wners N~me . e OJ\.~Df\
I Addre~s 2, (00 I 0 ~(J----
Ci ty ~D; 11 rt Phone \j).i;J -OLltJ&
O~ER ~~TALLATION
The installation is being made on
property I O'oln 'olhich is not intended
for sale, lease or rent.
Ovners Signature:
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DATE:
RECEIPT #:
RECEIVED BY:
a. -( 1- <J 4
'L'bl<!' ,
KIA!
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9 7/70 i
3. COMPLETE FEE SCHEDULE BELOII
A.
Ne'ol Residential-Single or
Multi-Family per d'olelling
Service Included:
uni t.
I terns
Sum
Cost
$ 85.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see liB" above
Branch Circuits
"
Ne'ol, Alteration or Extension Per Panel
$ 35.00 !S'OD
J
One Ci rcuit
Each Additional
Circuit or 'olith Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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