HomeMy WebLinkAboutPermit Electrical 1994-8-8
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SPRINGFIELD
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. ubmilled has the lollowin
1h.lcllow1n9 p,oleclt a"eq" uire spaclllc land use
zoning. and does nO r
225 FIFTH STREET approval. I 11/ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . kY-- ~ q l-[ OLQ3r
INSPECTION REOUEST: 726-3769 ~Og~Cj4- Ci ty Job Number ' '::J
OFFICE: 726-3759 Co" ex r . . *
. . . slurs 1\ ~COMP' "TI! PEE SCHEDULE BELOV
1. LOCATION OF INSTALLATfO!('"Zed Sign
(..'it( I} R ,!s;A.L::n.\ <l.. ,v.,CW A. New Residential-Single or .
D Multi~Family per dwelling unit. .
LEGAL DESCRIPTION Service Included:
1<6' 07_ 0 ~ 7_ ?, (? 7 _~ Items Cost Sum
JOB DESCRIPTION 1000 sq. ft. or less $ 85.00
;n,,/'.'! S-f''r J kL -/- r.::<l~ 4 ^ P- Each additiona~ jOO
0 sq. ft or portion
Permits are non-tratlsferable and expire thereof $ 15.00
if work is not started within l80 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days.. Service or Feeder v $ 40.00 .liJLPO
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
'/ /' I Installation, Alterations
Electrical Contractor0 !/--VI AJt'q I (;J"c.-'+-('t-c"or Relocation: .
Address.-n/ ~ Ft> >!j-lo It w ~ d. t. Q)~ 21'17..)00 amps or less
" 0./1 - ~01 amps to 400 amps
City L-.. P;A/I~ Phone K <171/0S-5302 401 amps to 600 amps
b 601 amps to 1000 amps
. Supej'visor. License Number 3 5 7 g S Over 1000 amps/vol ts
. R!connect Only
Expiration Date JO -I - 96-:
. ,
Constr Contr. Number 93 '153
Expiration Date C}- .;11-11
$ 50.00
$ 60.00
$lOO.OO
$130.00
$300.00
$ 40.00
f
C.
Temporary Services or.Feeders
Installation, Alteration or Relocation
Sign~#;€)f supervi~ing I-lectrfjian
~A-7 Z" ~
....; ,/ :.
Owners NameAA-'''' ~'l ke
Address , 4 7.~ T St-
Ci ty 5p~
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 liB"
above
New, Alteration or Extension Per Panel
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
Phone
7<//-0701
One Circuit
Each Addi tional
: Circuit or with Service
.., or Feeder Permi t -L $
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
"
$ 35.00
2.00
:;,otJ
DATE: <(.<{ .q,--\
RECEIPT jj: 1'1:J-,')'1 - L
RECEIVED BY: ~ Va..--
J.j~.oO
..:l, 11)
'-'lidO
.
J~~rA/ /.~'"
-z? , .110
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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