HomeMy WebLinkAboutPermit Electrical 1994-5-16
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SPRINGFIELO__
'Tha following project as submitted has tha foil
zoning, and does not require specific land use
approval. ELECTRICAL PERMIT APPLICATION
Zoninp ~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 ,D"to
, Authorized Signatt.irti
1. LOCATION OF INSTALLATION
5.r.; (".q G(ar.if/Y /JrJ'i/t'.
City Job Number C;; 5/0 ?::<S
5- \ (P-9~
f-) ,~0J4PLETE FEE SCHEDULE BELOII
, LEGAL DESCRIPTION
'$-02 .~ y~/ _ d' ""::l'P&>P
.
JOB DESCRIPTION
insfa/l ~<;aIJLjiJ./
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 ....'5"'n'.l-ro/ ...'5ecurr'fj
Address Pt). ~c2I()/)q
City ;;--<ADI',nfl ~ Phone-,'Ih I-51" 7R'
<J
. Supervisor Licen.se Number IYJ,'r()~TLE
Expiration Date /0 - 1- 9/r;
Constr Contr~ Number (;;5/Ljq
Expiration Date
(;; ~.;;:r -96
Signature of Supervising Electrician
/VJ . 1, 1 yV) ~r(J,;;t:)
.~ owners Na,me&h.f-'~rbom !lvy
Address ,<;d m/,
City
Phone '70/'/- .2 7t;;, 7
O\INER INSTALLATION
The, installation is. being made 'on,
property I own ,Which is not intended
for sale,lease or rent.
,9wn~rs, Signature:
DATE:. ?'7'tf:-'?V
RECEIPT f: ' ,j27~?:. "
RECEIVED BY: ///~'
'/'
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 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 $ 50.00
201 amps to '400 amps $ 60.00
401 amps to 600 amps $100.00
601, amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps tQ400 amps
Over' 401 to 600 amps
Over 600 amps. or 1000.volts
D. Branch Circuits
$ 40.00
$ 55.00
$80.00
see "B"
above
New, Alteration or Extension Per Panel
. . ..
One Circuit
Each Additional ,,'
CircuiCor w,fth Service
or Feeder Pe,rmi t
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-~ach installation
Puinp or, irrigation $ 40.00
Sign/(jutlin~LighHng $ 40.00
Limited Energy/Res, 1$ 20.00 ..di1!2
LiniitedEnergy/Comm $36.60
. -. ", .,.^ -, ",
5,. StiliTOTALOP"ABOVE
5% State Surcharge
,TOTAL ,,' ,.., ,
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