HomeMy WebLinkAboutPermit Electrical 1994-10-14
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The. following project as submitted has the followin
zomng, and d<;>es not require specific land use
225 FIFTH STREET approval, ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning ~U '
INSPECTION REQUEST:, 726-3769/"'r-d' City Job Number -9~~'::;; ~
OFFICE: 726-3759 Dllto ---- -:,-9'-{
Authorized signature~ :h COMPLETE FEE SCHEDULE BELOll
1. LOCATION OF INSTALLATION r "-..-
"'/92 ~~("..2>.-r?t'o,.,,":,u,cu, ~/IV"",A. New Residential-Single or
. Multi-Family per dwelling unit.
LEGAL DESCRIPT~ON Sgrvice Included:
17"h~-2'Z-2& ~~CS Items Cost Sum
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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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Z-D- 51 CLS
Address 'Jot.! J~t2.svrJ
Ci ty &Gew c..-
Phone 34d-r7C"C,
Expiration Date
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lO!qr
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Supervisor License Number
Constr Contr. Number
Expiration Date
Signature of
sU(l~: ~~an
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Owners Name
Address
City Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
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DATE:_ /~/<,<(-~
RECEIPT l!:' .?~~
RECEIVED BY: ~ - "
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
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
"01 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
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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
Sign/Outline Lighting $ "0,00 ~
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
17<>, ....
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