HomeMy WebLinkAboutPermit Electrical 1994-3-30
The fO~loWing project ~s submitted .~~ ;h~:f~IIOWI . ~
22's FIFTH l>LIU:.J:.L ~~~'r~~arnd does not require specific land uS!lLE~CAL PERMIT .APPLICATION
SPRINGFIELD, OREGON 97477 I )J/ ffY:J. \1\ I A
INSPECTION REQUEST: 726':376~oning k/1C-' City Job Number Vj,':'J~ ~
OFFICE: 726-3759 Oete :~ -~()-q1-
1. LOCATION QE..IN~p.r 11.'It~ ~ed, Signature fJ ."..2..
YIS\ rGA . - ) A.
LEGAL DESWJ1:fIO~
\ a::A.r\~ H.. r D }\! .7J
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JOB DESCRIPTION
lL' ,'. "-- 1\La:f- OI1.--rn -D
. . Uf bl 0 .
Permlts-are non-trans era e and explre
if work is not started within lBO days
of issuance or if work is suspended for
lBO days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor OREGON ELECTRIC-SERVICE
Address~;;),)n L. ') '--N-f ~
Ci ty ~ <,-,-,,- Phone ~cJ.:~ - I b<:;Cl
Supervisor acense Number /,-'~'/1c!;J < "\
ExpiratiDn Date 10 Ie; c..j
Constr Contr. Number NoLi (0 C---
Expiration Date ;eJ /qy..
Sign~!ure of sup.ervising Electrician
7~VU:b'" fJ If"" ,
Owners Naml:lW()ki:e~
Address ~~
Ci ty Phone 74(0 -~) 35
OYNER INSTALLATION
-' The installation is being made on
-property I own which is not intended
~or sale, lease or rent.
Owners Signature:
~ATE~==-~--- ^~ .~~C) ,q::j:.------~
.RECEIn 11: \ _ ~,\?, \A\oJ
2RECEIVED BY~ -::-^) V_V\..... ;;7' ~ '\
;-
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
. sq. ft. or portion
, i., thereof
Each'Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
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
C.
uni t.
Cost
Sum
$ 85.00
$ 15.00'
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
One Ci rcui t /
Each Addi tional
Circuit or with Service
or Feeder Permit
E. Miscellaneous (Service/feeder
.- -Each installation
Pump or irrigation
Sign/Outline Lighting,
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL'
$ 35.00 3S'&o
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00'
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