HomeMy WebLinkAboutPermit Electrical 1994-12-8
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The following project as submitted has the 10110
zoning. and does not require specific land use
225 FIITH STREET approval. ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino LC/ ~ ~/~ <;"/
INSPECTION REQUEST: 726-376~,'1 .,. /c, I I City Job Number -/ ~ z::> /
OFFICE: 726-3759 Dat\1'.I/"D. 1':1..
~uthorized Signature ~ COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
1999 Il1t11'n ,S+.
LEGAL DESCRIPTION
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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.
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A.
New Residential-Single or
Multi-Family per dwelling
Service Included: .
Items
1000 sq.ft. or less
Each additional 500
sq; ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor, Son i t ro I Secu r i ty or Relocation:
\
Address P.O. Box 21009
City Euuene Phone 461-5678
Supervisor License Number 1-'7 )?OJLE
Expiration Date JIJ - /- qr:,.
Constr Contr. Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
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Owners Name fnini- PI"j- /!7a/rf
Address ,<;'0 fYLII
Ci ty Phone '71tf- IJIciD
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
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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
unit.
$ 85.00
$ 15.00
$ 40.00
$ 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
D. Branch Circuits
$ 40.00
$55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm -L $ 36.00 <~,tIli
5. SUBTOTAL OF ABOVE .::sc,.~
5% State Surcharge /. g()
3% Administrative Fee /. /)8
TOTAL ,3R.~R-