HomeMy WebLinkAboutPermit Electrical 1994-5-13
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S....nINGFIELD
The following project as submitted h.. the fe
zoning, and does not require m;ct;..{iC land us....
225 ,FIFTH STREET approval, ELECTRICAL PERHIT APPI.ICATION
SPRINGF'IELD, OREGON 97477 Zoning LoI2. nA f\ "::!?c::::.
INSPECTION REQUEST: 726-37~,te 5-\'l,~q14 City Job Number "-'f""tl )(-j' ~
OFFICE: 726-3759' I
Authorized Signaturo !.) .N!OHPLETE FEE SCnEDULE BEI.OV
1: I"\I"QCl\T~N OI'l.I~STALLATION U _ 'I
;...;.-....;f~q \' ~ 6"'\ l~ 10.I)\J~ A. New Residenlial-Single or
Multi-Family per dwelling
Service Included:
\ r'\~~~risr~PT~\ob
,,, iOB DESCRIPTI<l1! _ _ (\ 1!'>.. _ c-..._ ~
\ !LY.1n_f\,l..l ~~'f\o. '\"' \J..-\.:lUU'l ~
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Permits are no ransferable 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 contractorJ:t~~i\J\6F- EIFc:r:
~/o~l~ - ----
Address ~C:.>-,\ E.ljTI+ AvE...
Ci ty l='1.\ h"..........\ r_ Phone IVl-l5DO
6~..;u,oo
Supervisor License Number ~S
Expiratiol) Date
lD .. \ "cI"')
Constr Contr. Number (o3\~1
Expiration Date 12--2,-Cj.3
The, installation is being made on
property ,I own which is not intended
for sale, lease or rent.
Owners Signature:
.'
'DATE:---~-~----~--~-;\~~~~----
RECEIPT I: ',1 \N.' ~Yj
RECEIVED BY: CJ' ~ !.:'-6Y ~. , ~
It ems
1000 sq.ft. or less
Each additional, 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Hodular Dwelling
Service or Feeder,
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to qOO amps
q01 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
"
uni t.
Cost Sum
$ 85.00
$ 15.00
$ 1,0.00 ,1th
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ qO.OO
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to qOO amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "n"
above
Signature of Supervising Electrician
tU,~
.. ~'~r\f\'" D. Branch Circuits
Owners Na ) U\ , ~ LD U.
Address \) I ":'tl, ~
'City~M;)l..phone ~9
,~~ALLATION
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
$ 35.00
$
cl....
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ ~O.OO
Sign/Outline I.ighting $ qO.OO
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 4~~
5% S ta te Surcharge N . \ 0
TOTAL 909':' \(\
-+ 1.~~AsY I
2.00