HomeMy WebLinkAboutPermit Electrical 1994-9-21
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SPRINGFIELD
Th. following project as submitted h.. the foilo
zoning, and do.. not require "peeills land use
approval.
Auth'Aizad Sigi18turo~ ;;CIIFLE'l'E FHH SCHEDULE BELOV
1. LOCATION OF INSTAL~ION
11'3'; ('"'11-1:.7 1'("1---/:1lJ-t....--' -U~li A. New Residential-Single or
. ~ Multi-Family per dwelling unit.
LEGAL DES~FTION Service Included:
\)< ()7 ^1 A 7~u /) ~I 6D Items
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:,
OFFICE: 726-3759
97477 Zoning L-DtZ
726-3."HJfL.7-L/~~'t.. '
JOB DESCRIPTION
~11Jc.,. ~.(doA/ +-Y'.IJtL.f- I>1JN1<J)~
Vlt~
Permits are non-trans erable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
ELECTRICAi. PERMIT APPLICATION
Ci ty Job Number q4~
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder
S 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
J D /, .1 Installation, Alterations
Electrical Contractor Ac;.< /117/?((/( ';S'ClI1 'ua/fM:Dr Relocation:
Address 3/ e, s-;, 1i~1I j ST
Ci ty f,p IIn1 .fj:f/I Phone 7 <( -r '" ()'i /I
Supervisor License Number '37"3 r:;- S"
Expiration Date 1{)'1i"'
Cons t r Con tr, Number '1?i1 ~- (" -..I&'
Expiration Date
/t:J-9.,
Signature of Supervising Electrician
Y::A/~ 4Z~
Owners Name~JI^
Address \ \3S t.l....; 11\1--: .\ f' Yj~..a..... ,
Ci ty Sf ~ Phone 147 (p 52--0
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------r,------~-i--------------
DATE:_ lL-~l~~
RECEIPT #: tt:;~':V
RECEIVED BY: , A D~
200 amps or less $ 50.00 60. <JD
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 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 "B" above
--'
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00 LjO.tb
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE q O.r:/)
5% State Surcharge Lj,S:;
3% Administrative Fee 7_,70
TOTAL '17.71)