HomeMy WebLinkAboutPermit Electrical 1994-6-8
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SPRINCFIELD
225 PIFTH STREET
SPRINGPIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number (;f Y O~ 5:>
3.
COMPLETE PEE SCHEDULE BELOV
1. LOCATIOlj...,OP INSTALLA'l;ION
'1 Q./J r'....,-.~,.. ,? t- L Y\
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
~GAI..-.~~cw;rION .
no:? ?-t L (/ DD L DD
It ems Cos t
Sum
1000 s~.ft. or less
Each ari~itiona1 500
sq. ft or portion
Permits are non-tra~sferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days... Service or Feeder
')''''2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. /' I Installation, Alterations
Electrical Contractor!: I/A-'l AJ"q, ( (;{"c..;+-('rc..or Relocation:
Address J/7/!> Fox J./o/lnw~d. 200 amps or less
OJ) 201 amps to 400 amps
City j.::' P.l-AA~ Phone K t:t711().s-5302 401 amps to 600 amps
b 601 amps to 1000 amps
Supervisor License Number 3 5 7 g 5 Over 1000 amps/vol ts
Reconnect Only
/0-1-96-
Constr Contr. Number 9'3 '1!; 3
Expiration Date 9-;)/-1'/
JOB D~l"tOMa.~
Expiration Date
$ 85.00
$ 15.00
$ 40.00
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50~
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
.
"Sign);~~ SUpe~~i;j~:Jcian
;. , "\..
Owners Name -;e d J11,?V' 7d I 'g.,
Address q?O PNSc.o+ L,^-
City ~V C \..\.
OWER INSTALLATION
200 amps or less
201 amps to 400 amps
Over 401 to.600 amps
Over 600 amps or 1000
D.. Branch Ci rcui ts
volts
$ 40.00
S 55.00
S BO.OO
see liB"
above
New, Alteration or Extension Per Panel
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
.. 5. SUBTOTAL OP ABOVE ~.ro
~ S~~d.=~ 1... '?O
!,"Q
~ 0t.{.6U ---
Phone
71 7 - 72 O'l
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
\l\ --r;;1t1
I~~O~
(~
$ 35.00
S
2.00