HomeMy WebLinkAboutPermit Electrical 1994-4-11
225 FIITH STREET The following project 89 submitted h~~~L PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 zoning, and doee not require specific land use .-
INSPECTION REQUEST: 726_376~proval. n A Ci ty Job Number q 5ttJ t/-tJ S
OFFICE: 726-3759 Zoning '--'-"
Oele4--1 1_ elL< 3. COMPLETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLATION ,
/.."".2' ~/?/J,.." ~Slgnature All .IJ;;:.,. llp~irlentia1-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTION / J J L
.4d./ r>':'/'~<;;.,. // q h r:>
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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
;!?~Y/f/t1C.L)~
Electrical Contractor ~~~/~/~
Address ,.9?fZ /:6A/77C#'c. /5'tc/,!).
City_ &I'A~/'" Phone 35/3-7277
Supervisor License Number ~5;ZO .5
Expiration Date / O~ 7'V
Constr Contr. Number /'7;252-
Expiration Date / {)~ 7~
Sign~~of :u~sing Ele;Jrician
{Jd?djf-/~~~
or Name (?~~ /-3/
Aadress (00;) Y'Y\eu'..v..J S t,
Ci ty S"?1~'" Phone
'-'
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
4111 \""""1
c/~')pi~
CP. .
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
$ 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
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Ci,rcui t /
---Each-Additional
Circuit or with Service
or Feeder Permit
3S"2P
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$
$
$
$
"35
-1,7S-
40.00
40.00
20.00
36.00
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