HomeMy WebLinkAboutPermit Electrical 1994-8-8
The fol!owlng project as submitted has the 10110
zoning, and do.. not require specffic'land us.
approval.
215 ,FIFTH ..~~~
SPRINGFIELD. OREGON 97477 zoning_m Ill?
INSPECTION REQUEST: 726-31>~~ g -'is~lt-
OPFICB: 726-3759 I
. Autoorizod Signature ~ Clt'-COHPLETK FEE SCHEDULE BELOll
1. LOCATION OF lNST~'aON f
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JOB D~plIPf.IOli J i
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Permits are non-transf~rable and expire
if work is not started'within 180 days
,of issuance or if work is suspended for
'180 days. ' ,
Ovn~rs Signature:
. '. .' .. ." .".',
,',
DATE: X' ,C( ,,'i <.( I
RECEI~ I: ' , 1\f.2N,7
RECEIVED bY: flA~ '
i
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ELECTRICAL pJmHIT APPLICATION
City Job NUlIlber
q t.{ () '77 l.o
A. New Residential-Single or
Hulti~ramlly per dwellini unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof, .
Each Hanuf'd Rome or
Hodular Dwelling
Service or Feeder
Items Cost SUIll
c<..
I $ 85.00 R,L"-
/ ~
$ 15.00 IS-
$ 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
D.. Branch Circuits .
$ 40.00
$ 55.00
S 80.00
voHs..see "D" above
New, Alt~ration o~'Extension Per Panel
on~ "ci ~cul~:
,Each Additional'
, Circi.Ii,f'or I!fth Service,
. or 'Peedi1~~I1,:mi.t' '.
$ 35.00
. $ 2.00
not included):
E. Hiscellaneous (Service/feeder
-Each installation
P~inp or, lr~~g~don.
Sign(Outl}~e.Lighting'
~~mit~~.E~ergyjRes
,Limited, ~n~r~/Co~
SilBTOTAL W' ABOVE J I'JO ~
5% 'State .surcharge . i- ---,.
"T~,\L , . I r, )- '-
4- 36h'M~'\{\ ~~ ? :/
1994-05-27 17fr lor-~ =
5..
$ 40.00
$ 40.00
,$20.00
$36.00
02
,
2. CONTRActOR INSTAU \TION ONLY B. Services or Feeders
. . ~'''\ "j, Installation; Alterations
Blectrical Contractor \ fA J g""ot-'J.. n, J:'A><- or, Relocation:,
Address'J '? -r .s LJ . LrC l- '" L 7> ~-H QS 200 amps or less ,
/l / I.....J 201 amps to 400 amps
Cit)'{ ny, no / .' \' Phone ?,Lh (p j ? / 401 aUlps to 600 amps
, I ' 601 amps to 1000 amps
. Supervisor License NU~ber '3 (,,0 '-/- S. Over 1000 amps/volts
. ~ Reconnect Only
Expiration Date I () - I - 9 J
Constr Contr. Number 'Ir_ '7 -, '- '2-.
Expiration Date I ^ - ~ ~ - .9 ~
Si/~;17~~
.,: ~er: N~e h ~ "tto~.
Address '1&1 Hylv.L,f- Dr'"
city....:.MbWAt.. 'thone, Q71-"llL
v........ lNSTiLi.ATION
, '. I
The, installation is" being made on
property.~ own.vhi~, ~s not intended
for sale, 'lease or ~e!lt. .
. . :