HomeMy WebLinkAboutPermit Electrical 1994-11-4
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The fOllowing project flS bitt.' . '
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. . approv'al. oas not rsquire apocmc land use .
225 FIITH STREET L' O/} ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlnp . ~ ..'
INSPECTION REQUEST: 7BB.a3769/1_JJ_qu- City Job Number 9c// Sb 3
OFFICE: 726-3759 ~~ ,
Authorf2.1s,-.;l Slgoatum O)~ COMPLETE FEE SCHEDULE BELOY
1. to,c~T;ON O~ INSTALLA~ION
( I ,6 . C edAl fe4f 01-(
LEGAL:DESCRIPTIONA
/ 767 3 Z&:..4-r-- '/CJ7~D
, J9B DESCRIPTION h ')
t' ~f111 /I- ir '<..Jo/V IS / L"I. (!. ('I( C ~ f s ,
Permits are non-transferable and expire
if work is not started within 180 days
ot issuance or. if work is suspended for
180 days.
2. :CONTRACTOR' .INSTAL!,4TION ONLY, .
.' J;I}d( f1t rlftr;K (/. fd Il ,
Electrical Contractor cLEe. (. 1/fIe:.
Address "bit ~ ':)jl)d ,(t
'Ci ty C;//ltS.:.(e1 cI Phone 7L(1 :PtJ~
-f' (/ ,
Supervisor License Number ],? s)' t1
Expiration Date /O~ 9~-
C.
Constr Contr.Number'7'7t1 .1'') ~73d'C
,I ,
ExplratlOn Date
/6~ 9'1'-
Signature of Supervising Electrician
// ~ \ /J - "J
)fi~A/ /~/1~
c;r-' -
Owners Name CA:{~ ~
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------~---~---------------
DATE: If /4'/ "l i
RECEIPT #: . , i;Xr.;3' 7
RECEIVED BY: ~~
. '
...... .
- ~~--- ~~ -';:",J
A.
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
. .
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 volts
D.'
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
,.
One CirCUIt ~
Each Additional
Circuit or with Service
or Feeder Permit 5
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
3% Administrative Fee
TOTAL
$ 35.00' -3.Se>o
$ 2.00
to <- t>{J
not included)
$
$
$
$
4/, tH
I 2.~S'
1.'2.3
.H, :La
40.00
40.00
20.00
36.00