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HomeMy WebLinkAboutPermit Electrical 1993-11-19 -. SPRINC"LD The following project as submitted has the follow! . zoning, and does not require specific land use 225 FIFTH STREET ' approval. ELECTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning tv\. f) t? n,;:1.I f\f"V\ INSPECTION REQUEST: 726-3769 1/ \,~_ I. ' City Job Number '-'1--.)\' ILH-.. " OFFICE: 726-3759 Data_.Lfu~ Id ~de-q3 , . . Authorizad Sign.tu~., <::: 3. COHPLETE FEE SCHEDULE BELOV I.' 'LOCATION OX J;NSTAL~TlQN ( ()'K'S, ~ I n~1 \'~ f\, .~ill\H (\ o.D) A. New Residential-Single or Hulti-Family per dwelling unit. 'LEGALJlES~PT~ON. Service Included: II '10 :\6,)'rl.\~ \ \I cc--C") Items Cos t 6< cQ ~ ~....... JOB DESCRIPTION, /\ "\ t ....,-p( '4-)U ~VJ l3rl~ ~ ..~ rf\I""') 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-1f~J~(~ LJf~~'f Address 353 !> (",5 f(... City SI' Phone 7'1...( -II.. r- Supervisor License Number 3,77 S Expiration Date {o -'I Y C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number ~"i''( ~.1 Expira tion Date <-S--<;y Signature of Supe~~ing Electrician ~f(~ "! Owners Name ~ N\'L~ J , 0 . , Address \\ '1\..'" \ 't\Q't\1\\.f'D City f -'. ".0. 9 f<l....- _Phone ?-A -a- z;( n9'Z-> OVNER IN~ALiATION . The installation is beirig made on property I own vhich is not intended for sale, lease or rent. OvOers Signature: " DATE~-----~--------IT~IZ1r~~---~--- RECEli'T, I:. J. - / Uc.,4- t RECEIVED BY: (/ ~Lf '{...\. ~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Ci rcui ts Sum $ 85.00 flD $ 15.00 de ') , $ 40,00 $ 50.00 $ 60.00 $100.00 $130.00 $300,00 $ 40.00 volts $ 1.0.00 $ 55.00 $ 80.00 see "BtI allOve New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightinl! Limited Energy/Res Limited Energy/Comm One Ci rcuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2,00 not included) $ 40,00 $ 40.00 $ 20.00 $ 36,00 dJ(YJ ,oJ ...J. ( J .u c.z C'V) ( ) . '-"u . . SPRINGFIELD The fOllOWing pr I ,.. . ;O~jng, and d"e~ ~~ ~: O~bmftt&j hoc the folf 225 PIFTH STREET p~rO"Q'. . qUIre sPecffic land u~CAL PERHIT APPl.ICATION SPRINGPIELD, OREGON 97477 Zonin JL!1 ('\v"? INSPECTION REQUEST: 72~-F69111 :9. A. J \l: __ Ci ty Job Number q 3/ '7tJ 2.- OPP!CE: 726-3759 1.~"---Ll5,193 1 ~-~...- q;> , . Au.nor;Zed 5i tr<" '"3: C6HPJ..ETE PEE SCHEDULE BELOIl 1: LOCATION OP IN,STALLATION gnOlura -6~~1t':?~7 )./. ~ ,A. New l\~ntial-Single or // ~f!rO Hulti-Family per dwelling unit. , LEGAL DESCRIPTION ~,' Service Included: /'7/?"1 :22. ~ / /I~ Items Cost Sum JOB DESCRIPTION "'7&r?.d ".I?~ ~ J~ s , 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-1f;r~I~ LJf~~'f Address 353 5: (..$ (t.. City S,P Phone 7'-1 '-I -II... S- Supervisor License Number 3,",)1.s Expiration Date 104'1 C. Temporary Services or'Feeders Installation, Alteration or Relocation Cons t r Con t r. Number '6', '-( 2. 3. Expiration Date <-$"""-'91 Signature of Sup~ing Electrician &--tf~ 'it Owners Name ~t3::r ~ac Address I /1C: A~/t'.r R(I- Ci ty hI) , Phone ~4'1'-5Z:'z.. 01lNER INSTALLATION r The installation is being made on property I own vhich is not intended for sale, lease or rent. OWners Signature: " ---------------------------------- DATE: RECEIPT I: . RECEIvED BY: ;1-/5-/,3 Ib9~q.1 tt:~~- 1000 sq.ft. or less Each additional, 500 sq. ft or portion thereof Each Hanuf'd 1I0me 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 200 amps or less '- 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Ci rcui ts $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "Bn ~~ above New, Alteration or Extension Per Panel Hisce11aneous (Service/feeder -Each installation Pump or irrigation Sign/Outline l.ighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAl. OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40,00 $ 40,00 $ 20.00 , $ 36.00 4/)"f) . 2<11:) .~?;tO