HomeMy WebLinkAboutPermit Electrical 1994-5-5
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SPRINGFIELD... ,
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" Ssum dh
zoning, and does not requl e, , Be the following
approval. ra specific land use
225 ,FIFTH STREET Zoning (\~ /
SPRINGFIELD, OREGON 97 R"67.1 Q:1C. c::;.s 7'J1r
INSPECTION REQUEST: 7'1. -'J/U:; ,"1."1
OFFICE: 726-3759 Authorized Signatur~ ~
-3.
ELECTRICAL PERKIT APPLICATION
City Job Number
WMPUl1'E FEE SCHEDULE BELOV
C?7'!:J~'; J
1- LOCATION OF INSTALLATION ~
. '-( I Z 'f 1ttrtl-b0 >v/. fj- ~ A. New Residential-Single or
Multi~Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
/70? ~"2.. 2D ~/2.~ Items Cost Sum
JOB DESCRIPTI~ 10.0.0 sQ.ft. or less $ 85..0.0
S P 2t??& _ <?rlP' /// ,r"' p- Each additional 5.0.0
sQ. ft or portion
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Permits are non-transferable and expire thereof $ 15..0.0
if work is not started'within 18.0 days Each Manuf,'d Home or
'of issuance or if work is suspended for Modular Dwelling
18.0 days. Service or Feeder $ 4.0..0.0
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2. C.oNTRACT.oR INSTALLATION ONLY B. Services or Feeders
,". Installation,' Alterations
Electrical Contractorh/C76'pz elCre,:J: -C$lr Relocation:
Address 2-0/ d/vt"r /&&/ # / 2.0.0 amps or less tV$ 5.0..0.0
~ ' 2.01 amps to 4.0.0 amps $ 6.0..0.0
City g;U~0:;-t?ecr Phone b??,-13/ / 4.01 amps to 6.0.0 amps $1.0.0..0.0
'/. / ' 6.01 amps to 1.0.0.0 amps $13.0..0.0
, Supervisor License Number '5 P 27 S Over 10.0.0 amps/volts $3.0.0..0.0
. / c;=-- Reconnect .only $ 4.0..0.0
Expiration Date 10 - - /7'
Constr Contr. Number' 9' 5--;;; 0 cr
Expiration Date 1,/b'1 P5 ~
Signature of Supervising Electrician
~~.-/ '7""'. ~~
.~...... - ,-;: ,
.owners NllfIe ~.' ~PA1q~/r71l
~
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
2.0.0 amps or less
2.01 amps to 4.0.0 amps
.over 4.01 to '6.0.0 amps " ,
.over 6.0.0 amp~,or 1.0.0.0 volts
D., Branch Circuits
$ 4.0..0.0
$ 55..0.0
$8.0..0.0
see "B" above
Address
New, Alteration or Extension Per Panel
, '
.one Circuit $ 35..0.0
Each Additional
Circuifor w,fth Service,
'or Feeder 'Pe.rmi t '2D $ 2..0.0 ~
not included)
City
Phone'
CVNER INSTALLATION
Miscellaneous (Service/feeder
-Each installation
Pump or, irrigation'
Sign/Oiltline LighHnp;
~imited EnergyYRes
Limited Energy/Comm
SUBTotAL OF'ABOVE
5% 'State Surcharge
TOTAL " '
',.,' ., ..,.; ,:,..... "
The installation is, being made on '
property I own which is not intended
for sale, 'lease or'rent.
Ovn~rs Signature:
E.
;,.'
DATE:
RECEIPT 11: '
RECEIVED BY:
L::;- 5" - '14-
j~~,F"
.........VX. _'
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5,.
$ 4.0..0.0
$ 4.0..0.0
.$ 2.0..0.0
$36.60
9r) lTO
4. 5"0
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