HomeMy WebLinkAboutPermit Electrical 1994-1-11
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SPRINGFIELD
bmitted has the lollowing
1hz io!\c,'/I'tn9 rrojod't as suU"re 'pecitic land use.
. nd doaG no req .,
225 FIFTH STREET zonmg. C ELECTRICAL PERMIT APPLICATION
SpRINGFIELD, OREGON 974Ti,oval. c.....C
INSPECl'lON REQUEST: 726_3769,r.inCl
OFFICE: . 726-3759 [,te \ \ 11111-- 3
1. WTION OF INSTAI.lATi[-ON:ed Signuturo~ .
-1/ 'j #, 6&{Etb~ 1I, A.
LEGAL DESCRIPTION
1'710< :2.:2.. "2-<0
'2-46'0
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACIOR INSTALLATION ONLY B.
Electrical ContractorC,...., L"..!' >Lh'l/~
Address tiS ~ tA/datM(IJ( .
Ci ty E uc...., ~ /ltC Phone ,) W - Sf ~cj
Supervisor ~icen,se Number ~:51-1Jl-e
Expiration Date "'5- (- 9'1
Constr Contr. Number 9 (/ 0?J
Expiration Date
cS>qcj
Signature of su~ervising Eiectrician
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Owners Na,me h~ I'TA<,/"C"
Address II <7 .g, 0e< <: I/J{'At-/ {.. (J.
Ci ty ~~'t M.Jdlf Phonefd2R -D q! h
OVNER INSTALLATION
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------~~7C--------------------
DATE: //11/14-
RECEIPT I: J ( Ii <; '( b,
RECEIVED BY: d~-~
City Job Number
9 31 :?"rc..
COMPLETE ~E SCHEDULE BELOV
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Sum
Items
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
,Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installatfon,' 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.' Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcuit
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
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm 1- $ 36.00 ~
5. SUBTOTAL OF ABOVE
5% 'State Surcharge
~OTAL '
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