HomeMy WebLinkAboutPermit Electrical 1994-2-17
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SPRINGFIELD
The fol/owlng project ~
zoning, and does not :;~bmftted has the followi
225 FIFTH STREET approvel. Ire SPecific land "ttECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97471 Zoning-1dQQ q :;;>"'""70. . /
INSPECTION REQUEST: 726~769 ;)/ I' Ci ty Job Number i.J-J t '-I
OFFICE: 726-3759 to - n 'i':/
# Authorized Signal .~r.3.
1. LOCATION OF INSTALLATION ,J ure j;J-')
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LEGAL DESCRIPTIO~
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JOB DES<iJUPTION ,_
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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
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
.. -----r. c::::L '- L D-
Owners Name, yr.AM.O S OJ CCj~vcr-
Address 7...-fo(O~ .f.;b-,,,~ !f3,);:jq.P ed
""() O' II
City ~J . Phone 77jA~L(b'Xl
O\INER 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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---~----~------~1-------------------
DATE:' -Z~ \1-qLf
RECEIPT I: 1 \ -I DC>
RECEIVED BY: flu,,^ Q_
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.000:).W
$ 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
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above.
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit 3- $ 2.00 &/50
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 ~OO
5% State Surcharge 1.... '60
TOTAL c::-,9,nO