HomeMy WebLinkAboutPermit Electrical 1994-11-29
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The following project aB Bubmi1ted has the foll
zoning, and does not require specific land use
epprovaJ.
225 .FIFTH STREET /J / j
SPRINGFIELD. OREGON 97477 Zoning. t - 3:/
INSPEcrION REQUEST: 726-3~el/- 2. '1- '1<-/ Ci ty Job Number
OFFICE: 726-3759 / / J
Authorized Slgnature--2f:" ~HPI.RTR FRF.
1. LOCATION OF INSTALLATION
L.j..LJ..o WIn lm) .0't,..
LEGAL DESCRIPTION -
i I ",?-,?-.C; ~ ( 07 fOG
. - - - ... .....
.. JOB DESCRIPTION
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Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days..'
2. CONTRACfOR INSTALLATION ONLY B.
Electrical contractOl::~ ['tAw \ ~.
Address P.O. fld. 14.&'d->
CityJ~. ,o~ A \ ~ nO.J. Phone '1~I-~ 1-.310
rUJl~
, Supervisor Licen.se Number I b Z h <\
10 -1-q5
Constr Contr. Number oP. 9,Lj.q
q - I - q5
Expiration Date
Expiration Date
,
~:r2@7~~ian
, ~wn:rs Namei\~1H\-tNrU
Address '+OIIf\.P.. ~g1:h.(\t)i'L
City P~~~Phone ~3~- 65310
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
r
Owners Signature:
------------------------r--------------
DATE: I ( - 2A -9<.f
RECEIPT 11: 101.11/
RECEIVED BY: It, ~~ _ 0
ELECTRICAL PERMIT APPLICATION
qL/fl/{o
!:CHEDULE BELOV ~
New Residential-Single or
Multi-Family per dwelling unit. .
Service Included:
Items Cost Sum
A.
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
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50.00
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
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
~'State Surcharge
2,c'1o TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
:50.00
'1-.00
5"4.00