HomeMy WebLinkAboutPermit Electrical 1994-4-20
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225 FIFTH STREET I ,
SPRINGFIELD, OREGON 97477. Zoning_._J)~
INSPECTION REQUEST: 726~~ ~-l..<<>-Cf<'" City Job Number q7~
OFFICE: 726-3759 ,,' '
Authorized Signature U 3 M COHPLETE FEE SCHEDULE BELOII
. .
he following project a b ' ,
zoning, and does not r: s~ mitted, has the folio
approval. qUIre sPecific land use
ELECTRICAL PERMIT APPLICATION
1.
LOCATION OF I)lSTALLATIO~
67~? (V~ ~,
A.
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
/~-.:::>~-<=>~~/Y' c!>2/~
Items Cost
Sum
r
J~DESCRlFTION ./"
/7"T,.Al-}fIE~ d~~
,.~ . ',"
Permits are non-transferable and expire
if work is not started within 180 days
'of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof,
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
" , LJ, , .,..... , .d.--.-:~stallation, Alterations
Electrical Contractor ~,J!::~/ /~C7~. Relocation:,
Address 7/? ~ /2?f!!i'Q 200 amps or less
. 201 amps to 400 amps
Ci ty, 5'~ ' Phone ~ So' -q%6 401 amps to 600 amps
601 amps to 1000 amps
, Supervisor Licen.se Number 77/./<. c;:::-- Over 1000 amps/volts
~ Reconnect Only
/~-/-96
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
,$ 40.00
Expiration Date
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number /h ~ c/
.~
Expiration Date /&- 'Y '-9tY' 200 amps or less
" , . .". ". _ .' 201 amps t<;> .400 amps
Signature of Supervising Electrician Over 401 to 600 amps
~ ' . tI " Over 600 amps, or 1000 volts
~~ \-ll~~
~L/~., ~ b D.' Branch Circui ts
owners Na,me /&7,;-) ~~~
, , , ' New, Alteration or Extension Per Panel
$ 40.00
$ 55.00
$ 80.00
see liB" above
Address
City
Phone'
One Circuit
,Each Additional
Circui,t or wi th Service
or Feeder Permit
$ 35.00
OlINER INSTALLATION
$ 2.00
DATE:
RECEIPT, I: .
RECEIVED BY:
t.r"-~-9,""
/"-< ~?
//~.
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E. Miscellaneous (Service/feeder not included)
-Each installation
Puinp or, irrigation $ 40.00
~ign/<iiJtline Lightinp: $ 40.00
Limited Energy/Res ~ $ 20.00 70
Limited Energy/Comm $ 36.60
. .... .
5,. SUBTOTAL OF' ABOVE '2t:>, ~
5% State Surcharge /, ~,
,TOTAL ' ~ /__
The installation is being made on
property I own ,which is not intended
for sale, lease or rent.
'\
Owners Signature: