HomeMy WebLinkAboutPermit Electrical 1994-4-19
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SPRINGFIELD
The, following proioct es cU,bmllted has tho following ,.,
ZOnJil9. end dOSG riot require specific I~nd lmo
225 FIFTH STREET epproval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ' (J)~ n 4/'\ /10
INSPECTION REQUEST: 726_376';fn1na Ci ty; Job Number \J\ l )5\
OFFICE: 726-3759 Date f-1Q-9Y i " '
3. COMPLETE PEE SCHEDULE BELOV
1,1 ~~tIPN OF INSTALtA'T"fBiid Signotur. IJ M
1~5"U~onl.1nmt..Jt:- A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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JOB DESCRIPTION . 0
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Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days""
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Q.~S (';;I~~(\t~(\'I~'
Address P. 0, ~'1' 11\.-'21-->
CitY'~r,\\~"(\~~\A) Phone '141-11~6
Supervisor Licen.se Number I b 2h S
Expiration Date
lo~ I ~q~
Constr Contr. Number o:\S'(dq
Expiration Date q-l-qJ
Signature of Supervising Electrician
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Owners Name (1 flJ R~iYyr;&
Address I~S4-J, ~ OClill\(6\\. i\t.
CitY~I\i'mC),~Phone 9'14-'1'1
OVNER IN~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
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J _ 1}4 -<'l~VJ
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Items
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
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
D. Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
One Ci rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 .35".00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
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