HomeMy WebLinkAboutPermit Electrical 1994-10-3
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The following proJect El.$ !" .I-'~;'i.,."" l1es the followln
zoning, and does not r-: . ",. ,.'.. ,-; land use
225 FIITH STREET approval.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina L-.DL
INSPECTION REQUEST: 726-3769J 0 .....~-~ '-/. .
OFFICE: 726-3759 D~e . ,
,.J(\IS.. COM~!-E~E FftE SCHEDULE BELOTJ
1.
Authorized Signature
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
City Job Number
97'/~5' Y
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
"'"":Ii
Items
Cost
Sum
$5'
~
1000 sq.ft. or less __' $ 85.00
Each additional 500
~q. ft or portion
thereof ~ $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
, .' Installation, Alterations
Electrical Contractor K> t./Ei.-Tf;c /ttJOCo,..:c;....(f,v.f!pr Relocation:
,
Signature of Supervising Electrician
1-_~~4
Owners Name ~~ I//;~"q./LL
Address0,rl? ~cE' ~ ..
Ci ty ~?r~ Phone' /.J'c::.. -~ y
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OTJNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
/p- .?--'Y
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Address {f D. &,-{ ,').'11 ?/!>
Ci ty e.ke.'..v-.-J- Phone to 8 b-b ~!, k,
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Supervisor License Number ;)..i(t{'7 5
Expiration Date /~6 ~( ""1 5
Constr Contra Number 76689
Expiration Date /1-. ~;r7 r-9 Cf
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
,.
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit dh- ... 2.0J
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-
not included)
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Epergy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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y, '50
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