HomeMy WebLinkAboutPermit Electrical 1994-8-22
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SPRINGFIELD..
.. wi oleel as .ubmllted has the 0 0
The 10110 ~g~~. not require spec"lclend us.
z.oning, an"" u_
225 .FIPTB STREET epproval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlno I-D~
INSPECTION REQUEST: 726-37&\,. H.;V"-'l'L
OFFICE: 726-3759
Au\hOrlxed Slgnelur.
1. LOCATION Qf INSTALLATION
q j. ~. r:-Ar.e W 4'}-
LEGAL DESCRIPTION ..
nD~?-'JL7 no 'i5~L
JOB DESCRIPTION
l<./,J2c. /l/&./ #0../5c
.,.
- ." ":"
Permits are non-transferable and expfre
if work is not startedwithiri 180 da'ys
.of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor l-U. Mol'-d",c; cr"J
Address 4-f'1 c;Hc2LL8-1 c,rR...
City
SP,:::o,
Phone "7 4 7 - Of I (
. Supervisor License Number :<, (JO(..,. 5
Expiration Date' /0 /1 ) "/5:'
City Job Number
Al fI"<;IIHPJ.",;:a. u." .:.CBEDULE BELOIl
,
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Q'-f60Z7J
unit.
Cost
Sum
Items
<7 ~ o,;t-
1000 sq.ft. or less $ 85.00 b~
Each additional 500
sq. ft or portion
thereof , 2,. $ 15.00 4t;
Each Manuf'd Home or -
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installadon, 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40-.00
Constr Contr. Number
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date
0/ V~ V
~- 't-4?;
Signature of Supervising Eiectrician
..~ ~U {J~-
owners N~e5DJ.t.V.{r ]v\blu\.v"S
Address lL\.~ \. VVlOd?\( .sI---
cityS9f.-dphone'7 4 <..( -()Cj Ih
V.""", INSTALLATION
The. installation is being mad'eon
propertY.I ownwhic:h is not intended
for sale, 'lease or rent.
., . .
.Pvn~rs. Si~ture:
',.".
DATE: X' - 7_.:Z.~ -Cj c...{
RECEIPT 4: . ..)I\L\ t"J. . ...
RECEIVED BY: . fN-:v. "_,-
"-."
200 amps or less $ 40.00
201 amps to .400 amps $ 55.00
Over 401 to 600 amps $.80.00
Over 600 amps, or 1000 volts..see "Bn above
D.. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit'
.Each Additional' .
Circui.for with Service.
or Feeder.Pe.rmi t
$ 35.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
l'uinp or irrigation
SlgnlOutlihe Lighting
LAmitedEnergyVRes
. Unii ted, EnergylComDl
E.
5,.
StlBTOTAL OF'ABOVE
5t'StateSurcharge
T~j\L . .
".... ,.; ,'.'0"'
-\- 3010 . Mffi'\(\ ~~
$40.00
$ 40.00
$20.00
$.36;00
./ '?o O.f!....
('7
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/40
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46 .
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