HomeMy WebLinkAboutPermit Electrical 1994-3-21
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The following project es submitted has the followlng
zoning, and doas not require apecillc land U88
225 FIFTH STREET approval.' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlno (l;(!/
~~~i~~IO~~E~~~T: bt~~3769 '?-4/-Q l-f
Authorized Signature rJ.1""- 3 .
1. LOCATION OF INSTALLATION
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LEGAL DESCRIFTION II 0')..'.)2.:>'-1) 03So()
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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 suspended for
180 days. r:;) If. ;;;:;-~~O I
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2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractort3}?/~~~ ,
Address1fDSqc:;GU t.IRi<:tts. Uk>.
Cityh~G--d70'i,~e ~<.fJ-O;qb
Supervisor License Number :59;;l.--SLG-
-
Expi ra t'ion Da te ro -I - 9::> ..
Constr Contr. Number ?3'-t-(t,G, e. L(;:- c.
Expiration Date
16 -(-9 cj
Signature of Supervising Electrician
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Owners Nameli1ltR:0D4I~GD.6-0{fc. D.
Address S-Un IiAfl..rN ST.
City'3rIN-;.gGL.)) Phone~7~b-l:)5~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren.t.
Owners Signature:
---------------------------------------
DATE:
RECEIrI W:
RECEIVED BY:
3J~ Ii Cl':l
I .;) (J J c::-
OK
Ci ty Job Number
CJ~o';1f",']
New Residential-Single or ~
;;;;~:;;;"~~::'::::" L .~
Items Cost Sum
1000 sq.ft. or less
Bach additional 500
sq. ft or portion
thereof
Each Manuf'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
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
volts see "B"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ .2,00 .
E.
Miscellaneous (Service/feeder
-Each installation'
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm .
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
S~.OO
,I ~o
'31. /S')
~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL