HomeMy WebLinkAboutPermit Electrical 1994-8-24
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SPRINGFIELD
Tho, followIng project ..submttt~~~ "'~... ~~_ I...'.....
Z(':,:lg, and dOC8 not require ['I",
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1. LOCATION OF INSTALLATION
~2'/,~~?7 .
LEGAL DESCRIPTION
I? '16~ ~ C; 4./'2 L>~~ 6" ,'.
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JOB DESCRIPTION . 1000 sq.ft. or less
~~~.::c::;. ~;fZI/~/#/?:5Each additional.500
" sq. ft or portlon
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for MOQular,'Dwelling
180 days. Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-~7:g
OFFICE: 726-3759 AutMrized SIgnature
Zonina
2. CONTRACTOR INSTALLATION -ONLY B.
Electrical' contractor~.r/~"P ~~~ ~
AddressJ/~ _~ ~~ J?/'.
City 6;~.-:;:~~ Phone-%!-~
~ . 44-~ i-.HR-
Supervisor License Number .3/t. ~-r
/tJ!I /1("
Constr Contr. Number 5lO- "3>7(:, ~
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Sign~~?~;t~/~~
Owners Name I //./h7'!T./!F7't ~< D.
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~.Al~
, Expiration Date
Expiration Date
Address
City &sp,q;. z:::>
Phone '7 ~ ;-r' '?:?/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners' Signature:
DATE~-------~~~-~~-------------
RECEIPT II: /V~t!?
RECEIVED BY: ;/ / - - ___,
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ELECTRICAL PERMIT APPLICATION
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Ci ty Job Number &:3 r/2 ~ '/
vVlitf::E'l'll--i'BE SCHEDULE ~
New Residential-Single or
".1'i-P,.i1y P" "",:::-:""
Service Included:
A.
It ems
Cost
Sum
$ 85.00.
$ 15.00
$ 40.00
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
$ 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
Branch c'ircuits
$ 40.00
$ 55.00
$ 80.00
see nB" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Ci rcui t or wi th Servi ce
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-E<ich installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res '
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
t.--- $ 36.00 .%..
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