HomeMy WebLinkAboutPermit Electrical 1994-4-22 (2)
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The following project as su.bmitted, ~as the following
225 FIFTH STREET zoning, and does not require specific land use ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9ftffval. rlA"r\c::::...( ,
INSPEctION REQUEST: 726-37691inq L/'Y1.r . City Job Number -y-t\ ),--,) 0 \
OFFICE: 726-3759' 4''':1.. ' '1"1 ' ~ .
Date ,3. COMPLETE FEE SCHEDULE BELOV
101, J LOCATION OF INSTA.\J,.All'GiON:i Signature IJ.," .
"t-ofO Cow",..\rW'~ \ A-o~ A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
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n LEGAL D~PTION ~
Ka;:oS '~8L A--O
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( rT~~~~CRI~ION r(\ CiD
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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.
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20 CONTRACTOR INSTALLATION ONLY B.
Elect~ical Contractor fle.u..> \JJ,w [3 ~
lA.J ,to 'T'''' '
Phone b~b- d3~
Supervisor License Number 3~ ~~ S
Expi'ratiori Date /0 - ' 1.3 '..
Constr Contr. Number~O :.Jlj<../.SC
Expiration Date /D~ q (LI
Address 4;).o~
Ci ty E UG~-t..
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. Sh;J. 0)7"
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~wn€;s -~ame:vQO '~ 1iJ--
Add~ess 4\ID ffi\flMY01Ct 0 )
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Elec trician
City ,
O~I
ALLATION
The installatiori is beirig made on
property I own which is not intended
for sale, lease or 'rent.
Owners Signature:
---------------~-/1:~711:\.
DATE: (fi "\ 'aa
RECEIiii i:~, .
RECEIVED ~ J &6 oJ
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Items
Cost
, Sum
1000 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 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
$ 40.00
$ 5.5 .,00
$ 80.00
volts see "B" above
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D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit ,
Each Additional
Circuit or with Service
or Feeder P,ermi t
I
$ 35.00
$ 2.00
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 ..::sS~~
5% State Surcharge J ~
TOTAL :0::./_ ?~
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