HomeMy WebLinkAboutPermit Electrical 1994-4-20
The following project as submitted has the f
zoning, and does not require specific land u
approval.
225 FIFTH STREET . LDfC
SPRINGFIELD; OREGON 97477. ZOnlno ,
INSPECTION REQUEST: 726-376~ate 4-27.L\~ City Job Number
OFFICE: . 726-3759' -.. I.AA~__ '
Authonzed Si~m:tum J. \)eettPf;ETE FEE SCHEDULE BELOV
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ELECTRICAL PERMIT APPLICATION
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A. New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
. ' '
Permits are non-transferable 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 Hf-Jc'c...lr-l,~
Address ::; ~ 1. S . ~fPr..
Ci ty ...s:: P fD
Phone '.....)~,i ~(. II ~_S
Supervisor Licen.se Number 3S'r? S
Expiration Date 11- 9 S-
Const'rContr. Number' 81'42.. ,s
Expi'ra tion Date 3 -s - C? ~
.
r ,~ivnature of~~isin~ Electrician
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a Owners ~ameY no:PiJJ')() J{:f~
, Add res &Y)-(1 )j)x!JtrrlM// ~
. Clt~, C rOt'Jt ~ Phone H)$-643:
OVNER INSTALLATION ,'1. \ \S
The installatioh is beirig made on E.
property I own which is not intended ,
for sale,lease or rent.
OWners Signature:
~
DATE~-----~-:-Il~~lfi:~~O~
RECEIPT j: 1..k',. ..J..{{' I" ,
RECEIVED BY: (j' U)..(A ) 0/
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion ~I)
thereof , CY
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 AS
$ 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
D. Branch Circuits
(
/1/'\
-=rt-J
$ 40.00
$ 55.00
$ 80.00
see "B"
above
volts
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi tional
Circuit or with Service
or Feeder;Permi t
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
~imited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
40.00
40.00
20.00
$
$
$
$ 36.00 \
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