HomeMy WebLinkAboutPermit Electrical 1994-4-29
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SPRINGFIELD.
Thelollowin9 proleclas submitted hall thelollowi
zoning, and does not requIre specific land use
225 .FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . ~
INSPECTION REQUEST: 726-3769 Zomna Ci ty Job Number &9"'3/Z g. :5"'
OFFICE: 726-3759 Dote 4-Z.<1-~ . -
_ .' tJ 3f\A COMPLETE FEP SCHEDULE BELOV
1. LOCATION ~f INSTALLATiOif'mod Signature .
7~~ ~~t:.."" A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
~~;Z-40 <. ::<'.....-: &:?e:>1f!t:~
,
JOB DESCRIPTION L" .r.
W~'q'.~ 7~~c-~
- . .
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. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor/?':'C9tDn Gec..;f ~
.
Address Z tJllte ~,... h>1!J ~ #",/
,
Ci ty G..,y ~, c.e- Phone ~ > ~l:? ~
1 I
. Supervisor Licen.se Number 79z ':> ~
Expiration Date It9 / / /97-
~ f c.
Constr Contr. Number 9tf(;?o?,
Expitation Date
l/<<?S"'
Sigoatute of Supervising Electrician
~~-::Z~~
· ....owners Na,me. CdOGAt /1/- . - f/..-v
f ~
Address'
City
Phone'
OVNER INSTALLATION
The installation is being made on
property I own.which is not intended
for sale,lease or rent.
,()wners Signature:
DATE:_ 'I'--:z~ 9c/
RECEIP:r,. I:. ., /::?~'3b
RECEIVED BY: Ar".: _ ~ r"
-v/ - .
Items Cost Sum
1000 sq.ft. or less $ 85.00 -B2
Each additional 500
sq. ft or portion 'J1o
thereof. Z. $ 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
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
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
D.. Branch Circuits
$ 40.00
$ 55.00
. $ 80.00
.volts see "B" above
New; Alteration or Extension Per Panel
One Circuit'
.Each Additional .
Circui.f.or with Service
. orFeederPe.rmi t
5..
SUBTOTAL OF ABOVE
5X'StateSurcharge
TOTAL' .
E. . Miscellaneous (Service/feeder not included)
~Each installation .
Pump or irrigation' '$ '40.00
Sign/Outline Light1ng .$ 40.00
~imited Energy/Res .$ 20.00
LiuiitedEnergylCom~ . $36.60
//~-. &So
~ ~-:l~
/~~. 741,-
'. ....
$ 35.00
$ 2.00