HomeMy WebLinkAboutPermit Electrical 1994-5-25
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. ,LQ.9r;JiJiIpN OF IVSJALLATIONJ _I fI
I ~O t if J....u(LLC,illll ~
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[..lOB DESCRIPTION. . . -L '"
~ ~ 'N\ )\('Q ~ \ \ \' ~ '('~~'.~
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contract~~~~
Addressr<<13 --.mOVlJl.{)f, _
City ~hOne~rnQ.d-
Supervisor Llcense Number :2-9?cJ - \'
tn, \ ,L\_~
Constr Contr. Number 'C)4?~ ( n
Expiration Date \G..... \() -~
Signature of Supervising Electrician
~~.
Ovners N~e~crl~o ~ \\;~~Q ~
Address '7YC?-( ?~ ~~ .Hn
~ ~~.j,
Expiration Date
City
TION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
------------------~---~---~------
DATE: ~'--.~Af).
RECElt'r'ii: ., "i( ( r .
RECEIVED'. j.' /\r. _ iJ, ~
~..~
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q4a~ () 9.
COMPLETE FEE SCHEDULE BELOY
3.
---
Nev Residential-Single or ~----
Multi-Family per dvelling unit.~
Service Included: ~_
Items Cos t -Sum'-.......,
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less J
201 amps to 400'amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ill
$ 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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service 11
or Feeder Permi t --.i..L $ 2.00 (")I:)
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
~~\?
not included)
$
$
$
$
Il~~
.~~. (,.p( ! +-<9.ILp
~/'7, 70?
40.00
40.00
20.00
36.00
'la~
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