HomeMy WebLinkAboutPermit Electrical 1994-5-13
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zoning: ~nd' do~s not require sp~cific iand use
approval.
225 FIFTH STREET Zonino ~
SPRINGFIELD, OREGON 97476 ~\~_
INSPECTION REQUEST: 726-~7'6~ ___9. ~
OPFICE: 726-3759 Aulhorizsd Signature t->.......-
3. COHr~LE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION (
r; 6 b (A:5}./fo/ n::nJ I ~ IbC-l/ I). A.
, LEGAL DESCRIPTION
\ '1.02., '3 3~
(J1~eJD
JOB DESCRIPTION
~I W V yJ b A-/I"1?G'
.
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 I~/~ ~
/(/3&f
Phone 17- q.-t!J~ '-It
, Supervisor Licen.se Number B S S3.-S
Address t.() , /pr) X
City ~b.
Expiration Date
'5~!~~
7..0 -?.,;f f-' f-
"~ - e; ~
Constr Contr. Number
Expiration Date
Sigoature of Supervising Electrician
c;r'~ -~~
.. ' 1/ I . t } D.
Owners Na,me ~H1J..1 <;0 tf1/-t,5> ~t:nU
, .
Address . /(( 5 b CA'lP /J nv J PrL.,4'bU/ /:J ,
City ~ . Phone
\J
OVNER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale ,lease or rent.
'. OWn.ers Signature:
DATE: V)'- \::? ~ qL\
RECEIPT. .: - ..\ 7.//0VJ
RECEIVED BY: (~
ELECTRICAL PERMIT APPLICATION
qL\ O~qs
City Job Number
New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
I ~O .--
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601. amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 amp~or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bit above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addition(il
Circuit ,or with Ser~ice
or Feeder Pe.rmi t ~
$ 35.00
$ 2.00
b
E.
Miscellaneous (Service/feeder not included)
-Each installation
Puinp or irrigation
Sign/OutlJn~ Lighting
Limi ted Energy/Res .
. L{mi ted Energy/Comm
5.. SUBTOTALOFABOVE
5%StateSurc..h~."J;:, ge .
-F~II(J . .TOTAL . '2,..1:)U .4- tlR. ~
.. . . .
$
$
.$
$
'7& -cP
, l\. 'f I'~
LR Ql . '-1 jf
40.00
40.00
20.00
36.60