HomeMy WebLinkAboutPermit Electrical 1994-12-22
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he following p ,
zoning, and do;~Ject as .~bmitt.d has the f
approval. not reqUIre specific land Use
225 FIFTH STREET Zoning (J ,t! / ELECTRICAL PERMIT
SPRINGFIELD, OREGON 97477 Oats J) ~ 2.Lr1; -
INSPECTION REQUEST: 726-3769' ~,
OFFICE: 726-3759 Authorized Signaturo IJ M
j. C6I1PYl"'" FF.F. SCHEDULE BELOV
1. \ LOCA'AON OF INSTALLATWP. "'"'
\of\~ ~~J....-C"'\ ,-~J
~~PTI~~
" JOB DESCRIPTION -.
,,)anjt~d ~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for'
180 days.
2. CONTRACTOR INSTALLATION'ONLY B.
Electrical contract~~ l~ Y'lad
Address_m ~ \ ~ffi\'~
Ci ty Y.l 'Y'1Q.M. phone6p.,C6. CQ~a
Supervisor ~icense Number ~
Expiration Date \~. \~<=\~
Cons t r Con t r. Number. ("'f\ 2.. C\ l 0
Expiration Date \~. \0 .CJt\ .
Signa~~~pe~~~~cian
Owners Na~e, ,~J\ t'Y ^ I ~ J-o
Address-\\.rf\~. &~
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners'Signature:
DATE~-------Jr~~~~~-=-----
RECEIPT II: _ _ _ \~\1
RECEIVED BY: ,,{,..} .
City Job Number
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Moduiar. 'Dwelling
Service or Feeder
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
cmcg2-
"OiL "*
Items
Cost
Sum
$ 85.00,
$ 15.00
$ 40.00
$ 50.00 .15D
$ 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
D.
Branch Circuits
\
New, Alteration or Extension Per Panel
.'
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
One Circuit $ 35.00
Each Additional
Circuit or with Servicr~
or Feeder Permit ~ $ 2.00
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
~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~
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