HomeMy WebLinkAboutPermit Electrical 1994-6-1
lhe follo~!lng project as submitted,~as the 101 oWtrl
zoning, and does not reqLlire specrnc land use
approval.
225 FIFTH STREET f!.- f./
SPRINGFIELD, OREGON 97477 Zonina
INSPECTION REQUEST: 726[jd16~-I',.{~Lf- City Job Number <jJ90tf;C)O
OFFICE: 726-3759 - (\
A'Jthorized Signaturs_ - ~ C6ttPt'Elf. l'.r.E SCHEDULE BELOV
1. LOCATION OF INSTALLATION
~S/ tAL (!"'fJft'-hTJld I .
LEGAL DESCRIPTION
J7~ ~ .....7.7.. 7(9 .tt/~csr::::s
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JOB DESCRIPTION
in S+t:lll .'\f'/'d4.L)' Tv
- . '.' I
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 ....~()n i f1'() I
:2I()()q
Phone, lito / -15(0 7R"
Address jJ 0 /3eJ.-;(
City 7;A~ -.
. Supervisor Licen..se Number 1?f1'1J .....JLt3
Expiration Date JO-/-CJb
Constr Contr~ Number 10,5'11./9
Expiration Date //7'-d..?~qh
Signature of Supervising Electrician
M .-\- uk- VV\, -'"' r J, ~
.,~ Owners Na,me ~,.'=:-I--70 Caa.<+
Address
City
'Phone 77'7-5,r)/){
OVNER INSTALLATION
The. ins talla t iei) is being made on
property I own ~hi~h is not intended
for ~~le, 'lea~e orr~nt.
OWn~rs Signature:
DATE: G.~/-~Y .
:::JiD'~y:/~~I~~~~.i!" ~
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each addition~l 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dwelling
Service or F~eder
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
Items
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 t~400 amps
Over 401 to 600 amps
Over 600 amp~or 1000 volts
D.. Branch Circuits
$ 40.00
$ 55.00
$,80.00
see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional .
Circuit or wfth Service,
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Puinp or irrigation $40.00
Sign/O.utlil1e.Lighdng $ 40.00
Liini ted Enetgy/Res$20. 00
,Limi ted Ener~IComm ~l" $ . 36.00 3tAJ7)
5.. StJBTOTAL OF'ABOVE
5%StateSurchiirge
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3~ J tJ7)
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