HomeMy WebLinkAboutPermit Electrical 1994-2-2
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225 ,FIFTH STREET 1 \I wing prolect.s aubm1lled ~"'(:~d ~~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974 itt,e; oooand dOOS not require spec C /J
INSPECfION REQUEST: 726~6lA1. City Job Nlimber '1~1 foZ3
OFFICE, : 726-3759 Zoning f'II 0"(1.. 3. '
COMPLETE FEE SCHEDULE BELOV
1. LOCATION. pF }tjS!ALLA.RQtC/~
?; I( Ai ('j filJ././r.rtlJII:J~ ,,~_~''^.,'''~. Npv R9sid<'htial-Single or
"u"rl~" -,r--c Hul ti-,Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
/I n 2, '7 7 U7 n'?l [}n
1.(OB DESCRIPTIQ!i .-J.-:: ^r'\.
\ (7\\ t'tl, 1.JY\ 0-.:,\ 7 \\ 0 U \
permi ts are non-t~an: ~rable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Items Cost Sum
1000 sq.ft, or less $ 85.00
Each additional 500
sq, ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
2. CONTRACfOR INSTALLATION ONLY B. Services or Feeders
, ~ Installation, Alterations
Electrical ContractorUA'/"0'O),h:4',,.;?/,or Relocation:
./ - I ~?,,_?
Address./2,;Jo ...4/"/..<--../.) /'" .d 7--"'/ 200 amps or less
" " 201 amps to 400 amps
Ci ty L L .FA /,' Phone~ -/ t' -~~r 401 amps to 600 amps
./ 601 amps to 1000 amps
Supervisor License Number '74.-e/JL.~ Over 1000 amps/volts
, . Reconnec t Only
Expiration Date /(?~.r-'
Constr Contr. Number ..-- :?O::r.o.n
Expiration Date
f"""/~/
Signature of Supervising Electrician
/_ -- ,/ c;-
.. --D.
Owners Name-.Mi.7u _bbAdlM ~ .
Address '(;oj rJ (l &il!.2.rl1t!.J~
Cityc.,-JY1.d Phone f
r
OIINER INSTALLATION
-
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------------~7-------------
DATE: 2-./Z/1q-
RECEIPT 11: I( ~ 2-y
RECEIvED BY: ~~'
\.:
$ 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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80,00
see ItB"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
$ 35,00
$ 2.00
not included)
(
$ 40,00
$ 40,00
$ 20.00
$ 36.00
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