HomeMy WebLinkAboutPermit Electrical 1994-12-1 (2)
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Zonino
225 FIFTH STREET
SPRINGFIELD, OREGON 9747flt>to
INSPECfION REQUtST: 72~uUo?'~ d S' at'
OFFICE: 726-3759 0 Ign uro
1. LOCATIO!i OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION /
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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..' CONTRACfOR INSTALLATION ONLY
Elec~rica1 Contractor c.ecll) \)..(/('1 [I-el/-r:c...
Address 9.0. ,I3oJl.
City [.~..e\l\~
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Phone
Supervisor License Number
Expiration Date /O/q.5
Constr Conn'. Number C(51/0
Expira tion Da te 5/15
Sign~~~;e of Supervising Electrician
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Owners Name \rJ: II ~ IA':' A fY\c. 4BX1j6 D.
Add ress I 'A. \ \:::01Zl< \ S ";:) I t:::l..S:-1
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CitYYlf~\c.\ Phone':\:':l.14-Ql,g1Q\'
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
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DATEJo:' - / - 7 f '
RECEll'T 11: (0]/ '3 0:3 0 ,_
RECEIVED BY: .--A -yyLc~
ELECTRICAL PERMIT APPLICATION
City Job NwnberqL{-1 KS5
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. f t or port ion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
(" -(lo\{, ()J7 '17'1OJ-
"'~) 200 amps or less
/:'l:3 '''b:37 3 201 amps to 400 amps
~ 401 amps to 600 amps
~"6d- 4 .s 601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
volts
$ 40.00,
$ 55.00- "
$ 80.00
see liB" above
Branch Circuits
...
New, Alteration or Extension Per Panel
$ 35.00 35.0--0
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
I
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~.61)
5% State Surcharge 1.75
3% Administrative Fee / . 05
TOTAL _:;:>7. f5V