HomeMy WebLinkAboutPermit Electrical 1994-7-22
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bmlttad has tha folio'
Tha following ~~~~~t ~:';~Ira specific land use
225 FIFTH STREET zoning, and d ELECTRICAL PERMIT APPLICATION
approval.
SPRINGFIELD, OREGON 97477 . ~ ~
INSPECTION REQUEST: 726-3769 Zoninn l " Ci ty Job Number # 9</ () " 7 (,
OFFICE: 726-3759 1/2..-'2-4 '-t
001"_ ' rf'/VlCOKPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIAlJfnorizod Signatura '
.319 C. r;~ -I-cUJ'>4.. t.v:? A, New Residential-Single or
r Multi-Family per dwelling unit,
LEGAL DESCRIPTION Service Included:
) 719 ~ ? 2 2...(') 6)2::> r<n') Items Cost Sum
JOB DESCRIPTION
,Ale...; I--~.._"t___- St'Me... pt-.... ,ear
Permits ate 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 B,
Electrical Contractorc.,ly v'/(;/JI ,tE/J:A.,1-
I
Address .,:It, ~o IIfMl.o w.J I' cI
Ci ty E .....,.",- '-' Phone 61'7 -( l.' 'Z.->
/
Supervisor License Number 2 J 9 ~S
Expiration Date / -/.'7.:;,--
Constr Contr, Number 2'""....IS
Expiration Date Z -IS~ 9,j-
Signature of Supervising Electrician
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D.
Owners Name (}~c.<; ..''iM''u7?f1 ,,#/W~
JOx.Jt rt<.-.zA:l/ 74'..e~ (~C{q~)
Address
City
Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
--------------~- ----------------------
DATE: 7 2-')I?<t!'
RECEIPT~:. //r> '24-
RECEIVED BY: . 'f.h-f" ~L
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 85.00
$ 15,00
$ "0,00
$ 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
Branch Circuits
$ 40,00
$ 55,00 -
$ 80,00
see "Bft above
New, Alteration or Extension Per Panel
One Circuit I
Each Addi tional
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 $ 36.00
5. SUBTOTAL OF ABOVE ..//ro'O
5% State Surcharge ',?o.r
3% Administrative Fee '/_23
TOTAL ../ A' 2~
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