HomeMy WebLinkAboutPermit Electrical 1996-10-18
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Zoning
225 ,1'U LD STREET ' gete JIJ- It.' W
SPRINGFIELD, OREGON 9747 ' -
mSPECl'ION REQUEST: 726A~76'Jed Signatura
OFFICE: . 726-3759
1. LOJiATION .Of INSTALLATION I' IIj
I '.L/Yl~/(;M ~+,'f!J;-//ltt:l"{?
LEGAL DESCRIPTION "1 ,7'1 1
II tJS sC, 31 a/XO'D
JOB DESCRIPTIO,N ('
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Permits are' non-t~~nsferable and expire
if york is not started vithin IBO days
of issuance or if york is suspended for
180 days.
2. CONTRAC1'OR INSTALLATION ONLY
Electiical Contractor~A-fi. ,4)1I"_{O
Address -; IJ 07u /k-tH S +-
City ~ VJ/rll Phone 0 Jc,~81.!il
Supervisor Licen?e Number )~-~~,~~t t?
Expiration Date /0 /J /0-1
Constr Contr. Number_CJ ?9qd
Expiration Date ) .lA.L
'..- ,
Signature of Supervising Electrician
JUL ~ WJA- --'
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~vners N~me I? {PI II-A (',p [A/pl!
Address 1 '7/ (j M (11/1 'Sf-
City , C;fVI#Phone-2~b-(J1l.:1
va.''''' INSTALLATION
The, installation is behig made on
property I ovn vhich is not intended
for sale, 'lease or rent.
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DATE: l,.{) ti L
RECEIPT II: I 0;;1'< ")'::iT
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ELECTRICAL PERMIT APPLICATION
Ci tyJob Nlimber q {;" 0 4[( 7
3. ,COHPLETE FEE SCHEDULE BELOV *
A. Nev Residential-Single or
Multi-,Family per dwelling uni t. " .
Service Iricluded:
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf"d Bo'me or'
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. 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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D., Branch Circui ts
Nev, Alteration or Extension Per Panel
'One Circuit
Each Addi tional ,
Circuit or vith Service,
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Puinp or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Lim~ ted Energy /Comm ~ $ 36.00 ':1'31, /0
5. SUBTOTAL OF ABOVE ~.{fV
5% 'State~Surcharge j . X'D
"3'" TOTAL ' lOX
"6 ,4 K. Zg'
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ALARM SYSTEM PERMIT - $40 FEE
CITY OF SPRINGFIELD .
DEVELOPMENT SERVICES
225 FIFTH STREET
SPRINGFIELD OR 97477
DATE: / D/.JV9fo
IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS
LOCATION?
RESIDENTIAL
BUSINESS J!
If a residentially installed system, please complete questions
1 through 6. If the system is being installed at a business
location, please complete questions 7 through 13.
1. Name:
2. Address:
City: State: Zip:
,
3. Phone: Number: 4., Date of Birth:
5. Is the ~ystem being installed by the homeovner? Yes No
If no, then indicate the company that viII be installing the alarm
system: /
6. Date of installation:
- - - - - - - - - - - - - - - - - - - - - - -
7.
Business name (only if system vas installed in business):
C-::::>OO /1 e.V 'S;
Ovner Name: 6? rJ~ ~r-arl'lA^", I J
8.
9.
10.
Ovner date of birth:
Business address: ,/ 1/ Lf Mill'" \'+
City: <; fJ-,,,y"{y; ;;) ~tate:-W
Phone Number: rJr;), b -(') I) J
zip:nLf'"1/
11.
'12. Company that installed alarm system:
A-A- P- 4/4f.--rJ., r.-D~tA~'lI+ Ol--fJy Urt
13. Date of installation: .I (f d.. ~/.ql.
ELECTRICAL PERMIT -REQUIRED
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