HomeMy WebLinkAboutPermit Electrical 1994-7-19 (2)
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The followIng project as 8Ubmltted has the followin
zoning, and does not require specific lend use g
approval.
225 FIFTH STREET ZonlnQ LD~
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 7!l6L9J76Q '/-IC,-Gtt
OFFICE: 726-3759 Authorized Slgnature~ _~
1. LOCATION OF INSTALLATION
517 9 ?JA-7~S~
LEGAL DESCRIPTION (
/7t92- 3"3 J ct
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. p~. j Installation, Alterations
Electrical Contracto&tu-f<:r~~ -I-~W~or Relocation:
Address 3/t ~d. I)tlld 5:, 200 amps or less
201 amps to 400 amps
Ci ty (~r/I14.((el d Phone 1&{7 ~68'?401 amps to 600 amps
-/ t? 601 amps to 1000 amps
Supervisor Li cense Number 3'"1 S ,. - S- Over 1000 amps/vol ts
Reconnect Only
Expiration Date /0 -1- f~
t'9 4~ 2. t9
JOB DESCRIPTION
.~~~JT 70 #ccJ~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
.180 days.
1-
Cons t r Con t r. Number 71 a 5'5
Expiration Date
/0 -/ - fc(
\ ,Signature of Supervising Electrician
/\,~JdI~
~ners Name lYtt:E t/~~)C(
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
']-15' -7'~
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A.
C.
D.
E.
5.
SPRINGFIELD
ELECTRICAL PERMIT APPLICATION
9~{)5/cS
City Job Number
CeKPTU~E FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcui t t-- $ 35.00 -? - ero
,) ~.
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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