HomeMy WebLinkAboutPermit Electrical 1994-10-13
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The following proj",...t' b . . '.
20 . ::." ~'. as !lU . m/lt.E'rl n~s th"'f""'~fIlB..TCAL PERMIT APPLICATION
. nlng, and doG';;, nG\ ,.,..,:, '1;'",'"'''' " ....,. i , .J'L:D~,.I.'~'<f-
approval. .' . ..,.....,:...,,;j'.. .<.(, c:s;y Job ~umber q 4/5 Lo g
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
.S
~~~i~~IO~2~~~~T: 726-3769 t'OLoning l",Oe,.
Date '-I3-trL.t 3.
1. L~~I<AN OF INSTALLATION . .'. '
, I u"+. As C"a.AYhon1.6d Slgnature~
\
). n LEGA~ D~S~TION /"""V""\
_ID,~~~) (JOLLA..../ .
.. .~~juAi~-=- ~.~~n.~li~_
","" {~' . ._ _0' ~
': ' Perin{t'~ -ar-e 'non-tra - .. el!~ble and ex ire
if work is not starte'dwithin 180 days
of iss~ance. or if work is suspefided for
180 days.
2. CONTRACTOR INSTALLATION ONLY . B.
Electrical contr~c~ U\.cloX&JlC:"
AddressdC1a~
Phone ~S. m~ a
Number~q1rP
\(). \ .05-
Constr Cori"tr. Number (ry\'2..C\ lo
\~.\D'CV\-
City
SU~,ervisor
Expiration pate
Expiration Date
SiNsu~Cian
Owners ~ameJn(}fl'l)I'+ll' LL~ ,(~~.
Address 10<4 ~s6LrU
Ci ty ~ fL-., p~one 1!lfo1?i)1
o~ tNSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------------~---------
DATE: , I{) ./:3 ''-11
RE<;EIPT #: 'L.......J. _ \c:::..~
RECEIVED BY:-/V,L)I?) J..}-\-,.J
"--- / .. -
COMPLETE FEE SCHEDULE BELOV
NpW Residential-Single or
Multi-Family'per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof' - .
Each Manuf'dHome or
Modular Dwelling
Service or Feeder
Service~ or Feeders
Ins(~llation, Alt~rations
or Relocati6n: '
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
~
One Circuit L $ 35.00
Each Additional
Circuit. or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Lighting ,> ,- I
Limi ted Energy/Res - .'. J
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
"
~
not. included)
$ 40.00
$ 40.00 rA-''',;
$ 20.00'
$ 36.00
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