HomeMy WebLinkAboutPermit Electrical 1994-11-28
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SPRINGFIELP
The following project as submitted has the foil
zoning, and does not require specific land use
epproval.
225 FIITH STREET . M P 12
SPRINGFIELD OREGON 97477 Zonlna
INSPECTION REQUEST: 726-3ll69 II ~'l/r--"1
OFFICE: 726....3759 Auth Iz dS' I ~"'.
or e Igna ure 't...... ..-..nn..... CHED
;;V:/Y;,B:1l . =- S ULE BELOY
1.-- I UACATWIjI qF INSTALkA..TION v\ tlo...l.
'hcA"t' \~'....~' \'\Nc'\l.l-V
LEGAL DESCRIPTION .-..r-...
~~\ t\~\LL.J
~~~ DESCRI~ION cOlP46
Permits ~:~....transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTAL"L('TION ONLY),...\.. _. A"'~ B~.
Electrical Contrac\oJJt\llC1r }. ~~~
Address_~~ ~ lQ<F)~~.
City~. Phone ~. \\\05
supervisor'iicense Number ~~'1 'l.S
\(). \ .0..5
t2>q~~
a'~'~
Expiration Date
Constr Contr. Number
Expiration Date
Signature of supe:;~ng Electrician
c;".J L!C ~ ----
Owners Nam~M - tin f 1 L..lL.--
Address t\l~.cb
CityjJ, '~Phone '2:A38012..-
OWER I~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~~-:~~""rr~~:C[f""-~~~q""""""--
RECEIVED BY:"\ !\lA.......~ ..' ,-., ......~
ELECTRICAL PERMIT APPLICATION
City Job Number C\4~\
A.
New Residential....Single or
Multi....Family per dwelling unit.
Service Included:
Items Cost Sum
I
A $ 85.00 Jj{)
~ $ 15.00 3l
$ 40.00
1000 sq.ft; or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~'~8
. ':"." ". u....l
,;c ul.l
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
....Each installation
Pump or irrigation
Sign/Outline Lightinp: '.
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
: 3%.Administrative Fee
....TOTAL"' ,...,.- .. . ,.':.,' .'
~ ..~~ -
$ 35.00
$ 2.00
not included)