HomeMy WebLinkAboutPermit Electrical 1994-8-19
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SPRINGFIELD
.' The/allowing projec1 a. submtnad ha. the following
225 FIFTH STREET ~~~r~~afnd doe. not require specific lantl'.!JCTRICAL
SPRINGFIELD, OREGON 97477 e..c../ /C
INSPECTION REQUEST: 726-3769 Zonin,,' u>U
OFFICE: 726-3759 Oete K -/~- '/if
t-1p#v,
1. LOCATION OF IN.llTALLATIfuIt~lO~ )~
o )4 'Z VIICClVl ~
~GAL D~SCRIPTION
I I 0 L..>:> Lj 3 z. () tjC-,/ ()
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JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
PERMIT APPLICATION
City Job Number 1 '--//0 l{f(
;7~COMPLETE FEE SCHEDULE BELOV
A. Ney ResidentIal-Single or
Multi-Family per dyelling unit.
Service Included:
2. CONTRACTOR INSTALLATIO~ ONLY 0 B.
Electrical contrac~~rl~
AddressrlC\ '2> \'\'\)'(\n~
Ci ty r, rn~ fIoeL. Phone ~~ N=\.~ a
supe~cense Number ~~~
\(} \ .05-
Constr Contr. Number (~'2..C\ La
\~'\D.QJr
Expiration Date
Expiration Date
Signature of Supervising Electrician
flg/A- ~
Oyners N!me 500. tf ~ 'hilA J
Address 3756 PA~cI
Ci ty FAA..~ Phone &'i7~ 6/h 7
OYNER INSTALLATION
The installation is, being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
DAT~~--~=-1~~lLf--------------------~
RE~EIPT #:". I LI ~q fa
RECEIVED BY: /1A- ,:;
Items
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dyelling
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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50-
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 liB" above
D.
Branch Circuits
Ney, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit, or yith Servi,eO r1/1--
or Feeder Permit $ 2.00 ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
,
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
lf70. tJO
~ ~ <t7)
dJ :2./0
iN 7&:00
40.00
40.00
20.00
.
.
The followlng proJect as submllled has the followin
225 FIITH STREET zoning, end does not require specific lend useELECTRICAL PERMIT APPLICATION
fjproval.
~~~~g~~:timg~~~~ 9~i6_376~onlngJWVt-.JGO Ci ty Job Number q 4/0 L{ 7
OFFICE: 726-3759 Dete,r-l'i-C,tf 3.
,,/1 COMPLETE FEE SCHEDULE BELOV
1. LOCA1l0]l, 9f'7INSr~~ed Signatur , MAc'.'
v)~~'c- V~'vv~ ~ Nev Residential-Single or
Multi-Family per dvelling unit.
LEGAL DESCRIPTION Service Included:
/7 DC. ~~'Z- ODc:.( 0
JOB DESCRIPTION '~
5t-v VICe_ +(') (r 1M.. ./.......
.'"
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
1BO days,
2. CONTRACTOR INSTALLATIO~ ONLY fl B.
Electrical contrac~~ ~
AddressA~~~
Ci ty r, l'1e n_<k Phone ~S. ffi~ a
supe~cense Number ~
Expiration Date \(). \ .C\...,CS
Const, Contr. Number (~~CJ\t!J
Expiration Date \~. \O.C\"\-
SignJ?U SU~2~rician
(; n (-
Ovners Name (~ ~01vl S
Address 37 S 0 J;;..,WkO.Jj
City 3t-u.1ft'~ Phone lo87-fl(,.,?
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
----------------hr---------------------
DATE: ~-["l/141.~~.
RECEIPT jI:' _ '1ft """J7 V>
RECEIVED BY: U./V - h_
It ems Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. f t or port ion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 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 LJ)-
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit, or vith Servic~
or Feeder Permit D
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00 1ia-
~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
*b~.(][)
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