HomeMy WebLinkAboutPermit Electrical 1994-9-15
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he. followiT19 project 89 submitted has the foil " ~
zoning, ~ndl' does not require specific land us ~'"
approvai. , :
225 FIFTH STREET l. ELECTRICAL PERMIT r;LICATION i
SPRINGFIELD, OREGON 974 77 ZO~tng, 111' f) 7 (~
INSPECTION REQUEST: 726B~~69 I' Ci ty Job Number " "-"I. lJ, ),
OFFICE:, 726-3759 I, i
qlJ r /i Authorized ~iQnature 3. COMPLETE FEE SCHEDULE BELOY
1. WA"f2~ Xl:' T~S'l'ALLATION ,I
Lf-2t5 RV c., Q.AJ LAJ. }5.,:,<., r A. New Residen tial-Single or
,~ ' I Multi-Family per dwelling unit.
LEGAL DESCRIPTION 'I Service Included:
C=-P,,,,, '/I;/VUI F1- t &~ klt:'rt-s.
JOB DESCRIPTION 1, '
( O(+) U lv, t- r::7".,~"
Permits are non-transferable and expire
if work is not started 'within 18~ days
of i~~uancc or if'wQ~k i~ ~u~p~'~~u !VL
180 days. " I
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2.
CONTRACTOR INSTALLATION ONLY
Electrical ContractorCi,.-QwCn_l ,~
Address P,O. f.?l') ~ (pLj ~ I .
. -- -- .-----".....!...::.
(,;1 ty :s~..h2..~.1::.l2.373~one 7 bq- ~'-/?J
OupeL-v1,)o~' L.;j,t,;~jJ;:,t: NVWUI;:L :t-72C> -+ "'::>
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Expiratiol'l Date
Ib-f-q.;-
~~(nq
I 0 - ')...:'1- 9 LI
Constr Contr. Number
Expir-ation Date
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Signature of Supervising Electrician
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Il ,jH~ cr- Cnt~:
. 'v " : D.
Owners Name -S-o v-I 2-D /oJ C I') #-J c", 'h-L. +-Ll!.~
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Address PD. ~~ S- b I
-,Cj131f'l-- I
, Ci tynl Yf0J~ r ~Phone 7Y~ - ~I C) 2-
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OVNER INSTALLATION
Thein~t~ll~rion 5~ b@ing made on
property I own which is not intended
tor sale, lease or rent.
, OWneJ:s Signature:
~~~~~q1flf~1~2~-----------T"'"
l\.r;Cf'rvr;D n r ; ~ I
1000 sq.ft. or,l~s&
~ach additional 500
sq. ft or portion
, thereof
Each Manuf'dHome or
Modular Dvelllng
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.
Items
Cost
Sum
,
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Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 tllllpS
Over 401
Over 600
or less
to 400 a!!!ps
to 600 amps
amps or 1000 volts
Branch c:ircuits
$ 95.00
S 15.00
S 40.00
$ 50.00
s 60.lm
$100.00
$130.00
S3<J<J.OO
$ 40.00
~
S 40.00 1...00bv
..... $..,55..00 '!,
$ 80.00 !
see "B" abover
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New, Alteration or EKtension Per Panel
$ 35.00
One Circuit
Each Additional
ClL~ulL vr wl{b ~ervlce
or Feeder Permit
E.
$
2.00
!
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not included)
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Miseellancou~ (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Ligh~ing
Limited Energy/Res .
Limi ted l:lnCL'&y/CQIIlIII
s. SUgTOTAL OF hDOVE
5% State Surcharge
3% Administrative Fee
'.l.'U'J:AL
$ 40.00
$ 40.00
$20.00
S 36.00
'200,00
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