HomeMy WebLinkAboutPermit Electrical 1994-10-6
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225 J!l..rUl STREET Th6.follc>wing,rrojec~ a:.su.bmia:d,h?S~~~eAL P'ERHIT APPLrCATION .
SPRINGFIELD, OREGON 97477 ~~;;~'1:,~"d CO" no. '"""H' ,p,,,n, ~'I>'ll'lJ~ .. . ny' --:J:t.
INSPECTION REQUEST: 726-3769 . Lf)/2, Ci ty Job Number \./\. S~.J
OFFICE: 726-3759 ZOnlna . . . > \
Da\e lAJ,ft..ft'l 3. COMPLETE FEE SCHEDULE BELOV
1. LOCA~ OF ANST~T~.". _.J~., .. tnl'^
~ ~. J..: \\'.. ~~ ;:.>Igna,wa~: l~~w i\~::>16entlal-Single or
. . -' \. Mul ti-Family per dwelling uni t.
\~~lIal3 DSPffi Service Included: Items Cost
-~ - - -
2.. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
C\... .C _~ c\ ,,^...\-- Installation, Alterations
Electric,al Contractot:.... "i....~)\\.pi()' (.\JLC..A Relocation:
Addres~.Q . ~ 6'>YlloS' . 200 amps or less
Cityfmu\Q L Phone tcPiO'~o\~ tgi ::~: ~~ ~gg ::~:
. .~ - 601 amps to 1000 amps
Supervisor Llcense Number .J:Ilf 0 <) Over 1000 amps/vol ts
\ .1"'\. \. q ( n- Reconnec t Only
Expiration Date V
~'6f)02
\,~. '2-\ .C(_
",JOB D~S~ION
\'~~~.J\l)\ ~W(\(U'..Q/
per;its are non-tranSf~)le and expire
if work is not started\ ~~l:hin 180 days
of issuance or if work~ suspended for
'180 days.
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician'
~II ~~.~ ,-
Owners Name. ~ ryj \~ ~'- I
Address C\~ . ~~ oot
Ci ty one vt\-\ . \SF~
OWER INST~TION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE::
RECEIPT t:
RE~1U.JED. BY:
\ ~ \t\\D~}j&.
\) ~ Nl'--'; \\) .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
or
$ 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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
'New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
\
$ 35.00
~s
$
2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
, Limited Energy/Res
Limited Energy/Comm"
SUBTOTAL OF ABOVE
5%: State Su~~ge:
~ ;;:YO
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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