HomeMy WebLinkAboutPermit Electrical 1994-11-24
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Tce !ollowing proJ"c! as submitted has tho lol/owlr.
225 FIFTIl STREET Z0.",,~, ~nd does not require specific land U90 9
SPRINGFIELD, OREG8ffr~1'477
INSPECTION REQUE'ST: 726..3<169 rv\.Ot9...-:
OFFICE: 726-3759Date-JI_L7 -lit{
1, LOCATION OF INlIlI'<lrhL4~1lure tJ nI\
:<:'?72 - 5"7'7<1 ~1':<\fIti Ie..
\<i<'(~~\<fPTION ro\2D
JOB DESCRI~ON).\ ., ~
~ mC\~I. \.._~, _
Permits are non- ransferable and'exp re
if york is not started 'yithin 180 days
of issuance or if. york is suspenaed for
180 days,
2..' CONTRACTOR INSTALLATION ONLY
Electrical Contractor Ge...-c....-dciec:l
Address.<11S.<Y ~~ is,,, R.eI.
Ci tYS'n.{2l d Phone -741- 2S'?6
Supe.visor License Numbe. ~~~~
Expi.ation Date /o-} -9S
Constr Cont.. Number 'if7/'-IS
Expiration Date j/-/CJ-rz5
Signature of Supervising Electrician
/1~(//-1~ . "
Ollners Name~ I k ~ D,
Address~~\) ~:'"'d~
Phone {4i .q~~ll
~STALLATION
Cit
The installation is being made on E,
property I oyn IIhich is not intended
for sale, lease or rent.
,
Oyners Signature:
~~TE~--------------Jf}c~-~~ -
RECEIPT ft: I} , A..A 0
RECEIVED ny: ~ :~)
- K. 71-. .4<f,.
City Job Number
ELECTRICAL PERMIT APPLICATION
% VYJ
3,
COMPLETE FEE SCHEDULE BELOV
iI.
'..,w t\esidential-Single or
Multi-Family per dyelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dyelling
Service or Feeder
-4
n,
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
,.
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ \ L1'\~
40.00 ..1W.
$ 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 volts
Ilranch Circuits
$ 40.00
$ 55.00
$ 80.00
see ItB" above
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUIlTOTAL OF ABOVE
57. State Surcharge
7. Administrative Fee
TOTAL
$ 35,00
$ 2.00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36,00
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