HomeMy WebLinkAboutPermit Electrical 1994-9-8
The following projOCt as cubmltted has the following
zoning. end does not require speelll. land use
225 FIITH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlnp f.,[}f2,-
INSPECTION REQUEST: 726..376~
OFFICE: 726-3759 Dele VJ -v..-<1L(-
Aulhortzod S1gnatu'" (l fl'-- 3.
. 1. LOCATION OF INSTALLATION
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LEGAL DESCRIITION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor A~~C .t"LEc.
Address ff// /'-?/J//v
City 5/'//&
Phone 7..2..6' G?c) /
Supervisor License Number 30.?-:J.J
Expiration Date /~h 5
Constr ContI'. Number /' ;2- SOC
Expiration Date ~ ~~ ~
Signature of Supervising Electrician
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Owners Name 5 u-~ r-&?G"
Address /::L,)<'
6' /2-.?' pV ,v ""L.6"
Phone::?::Z-Jt:' /?YT
Ci ty c' pP /,c. <:?
OVNER INSTALLATION
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners'Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
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SPRINGFIELD
City Job Number
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
'1000 sq,ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf/d Home or
Modula.LDwelling
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
t9o/'r5t;;3'
"
unit,
Cost
Sum
$ 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 "B" above
New, Alteration or Extension Per Panel
One Circuit / $ 35,00 ]ffJP
Each Additional
Circuit or with Service
or Feeder Permi t / $ 2.00 )...lJ()
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
"
$ 40.00
$ 40,00
$ 20,00
$ 36.00
.3 7. 1'/0
/. 85"'
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