HomeMy WebLinkAboutPermit Electrical 1994-8-4
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The.lollowlng project es submitted has the loll
zOning. ond doe. not require epeciflc lend use
approvel.
225 FIFTH STREET I!.iY
SPRINGFIELD, OREGON 97477 Zonlnn
INSPECTION REQuEsT: 726Clti69 "" o/fLf
OFFICE: 726-3759 A lh Iz Si ~ ~
u or ed gnaturB...LL.' "'-
1. LOCATION OF INSTALLATION
c; 0 '1 \ 1M I, he. ~ A.
LEGAL DESCRIPTION
lID V~~~2- o0Z-0/
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.
Ci ty t:..... 'I rNP_
Supervisor License Number
Expiration Date
.j_ _ I ~q<r
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number /6 ~ f< <j
Expiration Date
/2_'),.oU
Signature of Supervising Electrician
r~ ~)vL!-
owne~) Name ~II ~S BrwtA.o.
Address Cy)Cj.::; M/J.-clA ,(;!I-
Ci ty ~ Phone 74 tn-'.j~Ic.:,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-----------------t--------------------
DATE: SI'; L\ 4L
RECEIPT II: /42-).1..-
RECEIVED BY: /fAM/\.L--
I
\
ELECTRICAL PERMIT APPLICATION
City Job Number qqDCjq~
~"DT "T" ~E SCHEDULE BELOll ~
New Residential-Single or
Multi-Family per dwelling unit..
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or.Feeder
I terns
-f-
Cost
Sum
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical contractor_j/c, [jet/elL- 'A,Jo~l/"h.or Relocation:
Address f 00 (0)( ;)..<.{q S. 3 200 amps or less
201 amps to 400 amps
Phone bRb -fo:+ 3.(., 401 amps to 600 amps
601 amps to 1000 amps
'3 t.{'! 7 S Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 40.iX)
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
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servi~
or Feeder Permit ~ $
of'
~
$ 35.00
2.00
~
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
3% Administrative Fee
TOTAL
$
$
$
$
?j)oO
;7,'7.:')
1.00
<7:l . nO
40.00
40.00
20.00
36.00