HomeMy WebLinkAboutPermit Electrical 1994-9-26
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225 FIFTH STREET ~
SPRINGFIELD OREGON 97477 Zoning
Ifl'SPECTION REQUEST: 7tf.fi.3769 '1-1Jr i1L(
OFFICE: 726-3759 - f\ '('A..
Authorized Signature ,) .
1. LOCATION OF INSTALLATION
35"'20 {~
LEGAL DESCRIPTION ~ ,,,,"
I "1 h"'? "7.."7.. 7.. 0 aD D'-^-'
JOB DESCRIPTION, 'I'
I~, -h.1I T""l..-IO \ (I., f' L",,-wer\-~
o ~ e.."1. ~ r i-Lo r '-'ftnJof'l1 '
Permits are non-transferable 3TId 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 L >..~ -r~ t.
Address ) ').. , tJ /) '" .:.~""~ L rlt>1.Jl
Ci ty '\:" V~I'~} O'^- Phone i:!C?<:; .-<;<;;q ~
Supervisor License Number !J I \' 5j1Jl
Expiration Date. Ib'I-Lffo
Constr Contr. Number qs 1C1 y'
J.-' I ~ q 5
Expiration ilate
~r:r~~~erViSing Electrician
Owners Name ~rt'.. c... tf""htJLI'..........._.
Address ~.t> *?1-.-...-. '1 e; rJilll-h..--
I
City <.~ d f'- Phone C-:6'r-'-t'-IJ.J.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------71-
DATE: t~.
RECEIPT 1I: \d. VCJ )
RECEIVED BY: ) fA.
.'
Ci ty Job Number 14 n'1 L, I
Wtl~~ FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items 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
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
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$80.00
see "BI! above
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Ligh ting "",',
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
'TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
L/tJ. (fb
7.'~
I~
,I.{ j i?l'
40.00
40.00
20.00
36.00