HomeMy WebLinkAboutPermit Electrical 1993-11-19
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SPRINGFIELD
The following project as subml\ted hatllhe following
. zoning and does not reqUire specific land use
1'225 ,FIFTH STREET . ~1'OV"I. ELECTRICAL PERHIT APPLICATION
iliSPRINGFIELD, OREGON 9747, ' 'cilD& n'2.\(\f\d..
'I'INSPECTION REQUEST: 726....3769oning~ , "-Gf ::;,Ci ty Job Number '-'\.;:.)\' \\ ) r
,iOFFICE: 726-3759 D"te~ 1 ~-d-C>' ..)
'; '. . <, ~ 3. COHPLETE FEE SCHEDULE BELOV
il,ll: LOCATION OF ):NSTALLA'l'l!JNed Signature, -
II 1\ ?Jn~ '1'/..<~ \ (\ A'lli\'\Q[lonJ A. Ne... Residential....Single or
1\ Hulti....Family per d...elling unit.
\J Service Included:
. ~GAL DESCRIPTION
\"\.s3~ '.\c:\ \ f'O..<\CD
JOB DltSCRIPTION
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,Permits are non-transferable and expire
if ...ork is not started ...ithin 180 days
of issuance or if ...ork is suspended for
180 days.
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2. '. CONTRACTOR INSTALLATION ONLY
Electrical Contractor....tf)TJ~I~ LJ1~~'f
Address 35.2> S (",5 fl..
City 51'
Phone 7'i ~ -II... r--
'Supervisor License Number 3,-/1 5
, Expiration Date
/04'(
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number '69'( 2.1>
Expiration Date ~-S--4,/
,.1 Sign~ture of sU';Z'. ising Electrician
-d. 1f(~ -
..,; O...ners Name ~~~ ~ ~ ,0 ~
Address \\. ~ ~ \ t\ J~ t: ')
"City r~~r\g Phone~-~<A~
OVNER IN ALLATION
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I The installation is being made on
property I o...n ...hich is not intended
for sale, lease or rent.
Owners Signature:
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ii' DATE~=----'---1:- . :Ct.~................~---~
RECEIPT. I: . r "\ ) t :PILI-.d--
I! 1 RECEIVED B : 1.4 JLA:.. .
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Items
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion f\
thereof d-..
Each Manuf'd Home or
Modular D...elling
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
Recqnnect Only
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.. Branch Circuits
Cost Sum
$ B5.00 m
$ 15.00 2Q. \
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "D" above
Ne.... Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
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
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