HomeMy WebLinkAboutPermit Electrical 1994-6-1
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SPRINGFIELD
The following project es submitted has I Ihde tollowin_
d d not require specIfic an use
225 FIFTH STREET zoning, gn oes ELECTRICAL PERMIT APPLICATION
, SPRINGFIELD, OREGON 9741jprovo'. l-C/
INSPECTION REQUEST: 726-3769lonina
OFFICE: 726-3759 Date ft-I~
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1. LOCATION OF INSTALLM',JONlzod Signature
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within ISO days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
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Electrical Contractor PA1'/2..\c...~ S <?lEZ:rt,,-,
Address 2j2-1 ~l'.,..\"".v l~'-VO
-.- Cit-y-e..4.,€"-.lJf>' -- -Phone':"~4':;'-=7<./Y.:z....
Supervisor License Number' Z7/S-S
Expiration Date /'0 -I -&>jf5"
Cons t r Con t r. Number 3 &. ~(~
..
Expiration Date
'I-IS -'1~
K~:~?Yician
ow;ers Name JOH Al IL I WI p n>>J
Address 3 <Iv,:> lU..A-uJ
Ci ty ,j'p6h-L)
Phone 72b - l!'IS3
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: ~./~~r,/
RECEIPT I: I-~ //'"=?
RECEIVED BY:.q----:-
City Job Number
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*
COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000' sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to'600 amps $100;00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or 'Relocation
200, amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see liB" above
D. Branch Circuits
New, Alteration or E~ension Per
Panel
-
?':;;.--
(
One Circuit
Each Additional
tircuit or with Service
or Feeder Permit
$ 35.00
$ .2.00 .
E.
Hiscellaneous (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
3S-.~
I. "7'1>
~(m 7"-
~'~5"
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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