HomeMy WebLinkAboutPermit Electrical 1994-12-12
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. The following project as submlttsd has the folio
zoning, and does net require specific land U$Q
approval.
225 FIFTH STREET A J / ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino LA!V
INSPECTION REQuEsT: 726-eA&9/2_17'-'ii/ City Job Number 94/41cc../
OFFICE: 726-3759 1 .1
Authorized Signature-t.l->.. roHr.I.R1'E FEE SCHEDULE BELOV
1. LOCATION OF INSTj\LLATION ~ JI.'J
.Y8:4"n'U//4~f) ....)./f) . 'r-(l/A. New Residential-Single or
Multi-Family per dwelling unit,
LEGAL DESCRIPTION Service Included:
/71'7 ~ 2- 2. I ~ '02. '2 ~ Items Cost Sum
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if,work is suspenaed for
180 days.
2.'- CONTRACTOR INSTALLATION ONLY
/1 An/.. . Ie d'7'f}
Electrical Contractor~w.:-n.;ciFCUI2i / 7
Address t;:;2.t~j;;I1//.4I/v:J
City~ .. Phone ~PI-o/"Z'-?~
Supervisor License Number ~9j ~~
Expiration Date ~~r~
Constr Contr. Number dL)-.2r;?d~
Expiration Date /0/9s
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 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
$ 40.00.
$ 55.00' "
$ 80.00
see "B" above
Signa~tu~of Supervising ~lect~ician
;::?-~/Y1 ~ '
C/" D.
Owners Name~~.~~
Address //~..7 It)tl1o/d:.:{~/~~
Ci ty ~/P.~ ___ Phone 337- 7t S3
OVN~INSTALLATION
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
The installation i~ being made on
property I own which is not intended
for sale, lease or rent.
.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
~imited Energy/Res $ 20.00
Limited Energy/Comm ~. $ 36.00 ~
Ovners Signature:
5. SUBTOTAL OF ABOVE
5% State Surcharge
37. Administrative Fee
TOTAL
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DATE:
RECEIj;'j' ii:
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