HomeMy WebLinkAboutPermit Electrical 1994-6-20
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SPRINGFIELD
The followtng proJect 88 eubmllled hM the 10
zoning, and does not require specHlc land uee
225 .FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 [OJ?
INSPECTION REOUEST: 726-3769 ZonlnQ - City Job Number 9'/oR/'2
OFFICE: 726-3759 DeteJ,,~2.0A.::t .
. A\Jlho,1zed Signet"'" tJI:AA.. COMPLETE FEE SCHEDULE BELOV *
1. LOCATION OF INSTAJoLATION .
5Q3'6 Ko~rm~l\ \ 'it4rl\ll, A. New Residential-Single or
".'i'e'''''' p" d.."'., .,ii. '.
LEGAL DESCRIPTION Service Included:
/J2-.!:J2-<:!>~-2 ~ .<:::>A<c>~
,
JOB DESCRIPTION .
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i.U1.r\Jl") (\\r\....J (I[S'Y\N. '..\.lA/'r\Or\. ,
Permits are non-tra~sferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days..
2. ""u.....ACTOR INSTALLATION ONLY
Electrical Contractor (I,ts (."~ I {Jmp~.
, 1.
Address r. O. fu,-L ttJ.gJ-.,
CitY~pMm~~rt ,_ Phone 74-1 -~?'31o
Supervisor Licen;se Number I b 2(,,;\
Expiration Date IO-I-Q5
Constr Contr. Number ()~~4q
Expiration Date q -1- q 4-
s~e of Supervising Electrician
(C;-:{.o~:p1/ C ~-,J.-?
· Owners Name Y\n~ ~, ~uu J!
Address Sq 3 g ~ (\ J tn.1'C\~ I
Ci ty~C)gt._~ ~Phone '1410-/44'3
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OVNER IN TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~ -<0-":77"
RECE1PT I: /~c;-a>b
RECEIVED BY: /"'7~_ _ <
q/
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps 0' S 60.00
401 amps to 600 amps $100.00
601 amps to "lode amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
see "8ft
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
~.State Surcharge
3010 TOTAL
:'In. Q(')
~. SlO
.~,..,. 90