HomeMy WebLinkAboutPermit Electrical 1994-4-28
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The following projactt a:qS~ir: specific land use
zoning, and does no r
appro"lal.
225 FIFTH STREET lJ ~
SPRINGFIELD, OREGON 97477 Zoning_
INSPECl'ION REQUEST: 726-37J?a~-1.." ~ L-t City Job Number
OFFICE: 726-3759 · 0 ~ .
Autnorized Signature 3: COMPLETE FEE SCHEDULE BELOV
1. UlCAT~N.QJ!, ~STAL4T;x.ON
, fCR'C'J I till' fit) ~'\\ i.Q 0 1-
1"ft5j~~ 0(03 { J
^,OB ~ES<:RIF:TION~ _
(;J ClJ\(llr~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Signat~;~of Supervising Electrician
;:,/ i/25';::? "
.. Owners Name~ la~ ~ ~_ Q)
Address",1)..Q \ st7i~ Q j
/ Phone -=rtJ ~d4d.5
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------------~--r.1--Cf\- ~------
DATE:_ I) 1\ 2..b' ,\.-'^IY
RECEIPT II: ~' t;j" 'l")\
RECEIVED BY: - (00_)
ELECTRICAL PERMIT APPLICATION
Cf40r nD~
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
Extension Per Panel
$ 35.00 ~
$ 2.00 61
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
2. CONTRACl'OR INSTALLATION ONLY _ B. Services or. Feeders
.. \\\\\ t{, 'n.^.~ I Installation, Alterations
Electrical Contract~ \0l 0 f\'ij 0 \1.L'Uf<:::.../ or Relocation:
Address-. D .~CJ ~ \ \ \ 200 amps or less
\ /).,,(\~ ' . ......,,1 A rVI d 201 amps to 400 amps
City~-"l.~'l. C 1/\ ). \ \p .Phone .:J1lo~...J 401 amps to 600 amps
- 601 amps to 1000 amps
Supervisor License Number 3?01c6 Over 1000 amps/volts
\f"'-.. , \ ,rI1r- Reconnect Only
Expiration Date I...-J '--\..----
Constr Contr. Number \i2~
'n'\~C\~
D. Branch Cireui ts
Nev, Alteration or
One Circuit
Eaeh Additional
Circuit or vith Service
or Feeder Permit ~
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
1
not included)
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
40.00
40.00
20.00
36.00
$
$
$
$
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