HomeMy WebLinkAboutPermit Electrical 1994-7-20
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SPRINGFIELD
Tho. fc.lIo.wing pro.Jecl as submitted hos the fo.lI
zO~lng, and does not require specit'ic land_l.4.S~...
225 FIFTH STREET approvel. Ew,;t;uuCAL PERHI~PLICATION
SPRINGFIELD, OREGON 97477 Zonina f!(';, A\\TY()
INSPECTION jffiOUEST: 726-3769 "->-0 - Ci ty Job Number :\ \ A.
OFFICE: 72'6-3759 Dete ,w-9'-j ,
Autho.rized Signotur A 'n-SOHPLETE. FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION 0.
4;>,1 \At:.." ~-r. A.
\1~~ON ()sQ{D
JOB DESCRIPTION AOO - I
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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.
2. CONTRACTOR INSTALLATION ONLY
Elec t rical Con t rac tOE-.fj\::;1LIC\L'.s \d.Ez':il\v
Address 'Z- I 'L \ ~it-u tJ
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:' Ci ty ~etJE'fl'l.... Phone
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Supervlsor Llcense Number
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Expiration Date
fb\..\\ >l> ,:It I
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2/\S -5
to - \ - '15
Constr Contr. Number 3<.0 0'-"'"
4- \'5 -qS-
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Expiration Date
Signature of ~p~rv~ectrician
~~~~
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Owners Name MC.\cF,I0Z\\O l(\\lae.. ~7
Address f-f:> - ~ (040
Ci ty fl~MJf' H i!..l ~ Phone %a; .. fllb \ I
'll~$b' (~c..)
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
j)A;:E~-------'1-~~ l ) -.QZ{:---------
RECEIPT t: . 0 .'-1---r~
RECEIVED BY: t':::V~j ,~L ~ .
New Residential-Single or
Multi-Family per'dwelling unit.
Service Included:
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
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$ 35.00 ,.",-
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE .
5% State Surcharge~~C)~
TOTAL .
$ .2.00 .
~.~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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