HomeMy WebLinkAboutPermit Electrical 1994-8-31
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The following project 88 submitted has the fllUw.LIKL_
225 FIFTH STREET zoning, and doee not require apecif1c land ~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477approval. C1'f f
INSPECl'ION REQUEST: 726-3769 . /..,-~ Ci ty Job Number /' /3.3
OFFICE: 726-3759 ZonlM
. D.t.~ 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION 1,1'\0-
SI5'(1Jl.J:tn.~na \1~I\.>AulhOrlzedSlgnature~'i.- :'_" fL_:L..~ial-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
/7 /'J~ 27. /2..
(f')/~m1
JOB DESCRIPTION . .
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Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days:"
2. CONTRACfOR INSTALLATION ONLY B.
Electrical Contractor~.tS P~Q(ltWJ~'
, 1
Address~4g1->
Cit~~ Phone..1.4-1-~1,3b
. Supervisor License Number ..J..klh s:
Expiration Date I f) -I -q ~
Constr Contr. Number o~~q
q -1-q4-
Expiration Date
Signature of Supervising Electrician
. CJ~~(/~
. Owners Name :t-M~.., ~.iIl Un.1
Address-5::../!=1 r ..JJwn\ ~rL.
Ci ty Phone ..1:L4 - q 14 5
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
Modular Dwelling
Service or Feeder $ 40.00
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
D. Branch Circui ts
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
~'State Surcharge
~"Io TOTAL .
$ 35.00
.3 5'. 00
$
2.00 ~o
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t I
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
----------------------------7----------
DATE: ~/!;(/'t-'
RECEIPT. I: . /d <:"' '2 7
RECEIVED BY: 1 - ~h''''''''-:
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