HomeMy WebLinkAboutPermit Electrical 1994-4-25 (2)
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SPRINGFIELD
The, following project as submitted haa the folio
zoning, and does not require specific land use
225 FIFTH STREET approval.' {\. () ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoninq A.JI~ 0, /J ./I(-1!
INSPECTION ~OUEST: 726-3769~ ". t'J <. (J~ Ci ty Job Number / '(L/J
OFFICE: 726-3759 Date_~ H)~
Authorized Signature COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
teBD C~4"rClII)~QQ.T"'\ AI.l~ (.M~) A.
LEGAL IllS~~ION
\1 ()tJ.~r J 33
JOB DESCRIPTION
N~/A.J G'~-c.../ S~L/",~.6
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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
It.J i [l~ ""'~~ 1.Je;
Electrical Contractor-..eW),je:R.
Add ress 2.QO s. rv...: I (
Ci ty S~\~J:'el ~
Phone 7'2.6 -4.335
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Supervisor License Number 4 () 23 S
Expiration Date 1(') -/- qS
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Constr Contr. Number nt...J.A..)p:~
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Expiration Date
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Signature of Supervising Electrician
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Owners Name (J..):LlA""~"tvP: PARJ;::.L" f?~C.
Address Zoo S. 1\10..',/ I
City 'S'f'R.11UlA ~ ( eL~
Phone 72 t:, -4.3hS-
OVNER INSTALLATION
The installation is beirtg made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------------7-~--~2:-------------
DATE: 4/2J//'1-
RECEIPT I: (//)--t~'lJ
RECEIVED BY: ' ~Y/~
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New Residential-Single or
Multi-Family per ,dwelling
Service Included:
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unIt.
Items
Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feed~rs
Installation, Al~erations
or Relocation:
200 amps or less I $ 50.00 50~
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00,
Reconnect Only $ 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
$ 55.00
$ 80.00
vol.ts see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00 '3S~
$ , 2.00, b~
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 ..q C{ I ~
5% State Surcharge , <j-~
TOTAL . Y! q,c:..55