HomeMy WebLinkAboutPermit Electrical 1994-8-24
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Tho follow'n
Zoning, and ~~oJoct as submitted has t .
approval. s not requ;ro Gpoeillc 18/1~ ~o;.,1owlng
225 FIFTH STREET Zoning @ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97..477 - /:l, I C
INSPECTION REQUEST: 7~tc 37r,Q~-21--j" City Job Number vl,l ~( 15
OFFICE: 726-3759 AuthorlZodSlg /
nature_II", 3. COMPLETE FEE SCHEDULE BELOV
1.
LOC41'.ION OF(INSTALLATI9N
LffCi ('1.11 ~tf;) flr).e
J
LEGAL DESCRIPTION
\ I 0 C')?. 7 L- \ () ?:> 'IIYD
JOB DESCRIPTION
if .e (' f'il.ll^ ILH-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION 'ONLY
Electrical'Contractor
Address
City
Phone
Supervisor License Number
'Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name M,; k ?6Y~Y1S'
Address'~ (l A..( (.f.,-f.0~ 4v-L- .
City ~ {--d Phone 7i.f7-/S/6
,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
-=4 ;;r. atur~: /_ ij..#' "<
-----~,,/~ ~4 -
DATE~---~~~~4t----~----~::~------
RECEIPT 1I: , '-I ~i r
RECEIVED BY: (11A__ G
A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
lOOO sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular, 'Dvelling
Service or Feeder
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
Reconn~ct Only
It ems Cos t
Sum
$ 85.00.
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 4r? (7)
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""al1ove
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
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
$
$
$
$
'-/0.00
1..CJJ
1.7.0
L,?~70
40.00
40.00
20.00
36.00