HomeMy WebLinkAboutPermit Electrical 1994-7-12
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zoning, and doea not requlra apecific land use
approval, '
225 FIFTH STREET Zonlno LD0 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747l~ 'I <.f. C'l../ /0 ./?
INSPECTION REQUEST: 726~'6~ ~1'2.-9 f City Job Number - /.cr I ( 4~.J
OFFICE: 726-3759 Authorized SIgnature jJ.fK.. - I
3. COMPLETE FEE SCHEDULE BELOIl
A. New Residential-Single or '*
Multi-Family per dwelling uni to ' ,
Service Included:
Items Cost Sum
1. ,~~T~l1l ~ffjifilj~
.J1fi~~ON crFfX)
JOB DESCRIPTION
Mil /h?/>/)//'Zv7 Cl/A'Oh-/T,
/
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 B.
Electrical ContractorGe~y-d cE/~c.Tr:C
Address ,?95'LJ I-la..c.de~ IS.... Rd
CitySprP Id Phone 7-,!i-251G
"-
Supervisor License Number S65'1S
Expiration Date 16-)-C;~5
Constr Contr. Number ){7/</5
Expiration Date II - IDJ(y
Signature of Supervising Electrician
it
Address
City
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DA~E~--------777i7Y;;7------------' 5.
RECEIPT 11: / 3 a c,. 'd
RECEIVED BY: ~; .d... ~ ,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201..amps to 400 amps
401 amps to 600 amps
1'-.... 601 amps to 1000 amps
~Over 1000 amps/volts
Reconnect Only
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit <
L---
$ 35.00
, '15.&0
$
2 . 00 I':, tJV
- I
A-~'_ ~.~A~ . .
...:0\\(\ ~.
Owners Name ?k/vvJ- t3?'JiA L;/, ~
sC\ :\ \'{\(~ ~
<;(, .
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL ;;~, ~,
$
$
$
$
41,~
, 2.0S'
J .23
41,ZS.
40.00
40_00
20_00
36.00