HomeMy WebLinkAboutPermit Electrical 1994-4-18
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J. The following project as su.bmltted.~asthe followl '. - ".
225 FIITH STREET zoning, and does not require specifIc land 'ittECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477approval. . ~ nA.f'{JAc::::...
INSPECTION REQUEST: 726-3769 Zoning LV Ci ty Job Number . '\\~ L ~
OFFIC~: . 726-3759 Date4-J.~ "qu 3. COMPLETE FEE SCHEDULE BELOY
1. Ifl9-n!l'lOl' ,Ifls;l'..Ai.LA'q,.~ SlgnalOQ )'V .. ... .... .
~( ~ r~t) , - A. N~w Residential-Single or
. '- . -: . - .... . .. '.' Multi-Family per dwelling unit. .
. LEGAL DESCRIPTION Service Included:
/
/
s ~~~~VII~R~
"'\
-
Permits are non-transferable and expire
if wor~ is not started within 180 days
of issuance or if work is suspended for
180 days~' .
1000 sq.ft. or less
'Each additional 500
sq. ft or portion
thereof.
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cos t Sum
$ 85.00 2(J
I
4.
$ 15.00 l06
. $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. .; . . --0 l 1 ) I <' I -Ir h Installation, Alterations
Electrical ContraCtor. V I Is L 1..1 UYV G or Relocation':
Address.~ ?77 SO Cj~~-u..,Dr200 amps or less
Ci ty ~/ I ~ () .V Phone 'It .r .3 J 5'<1 ~gi :~~~ ~~ ~gg :~~~
I ) . rJ () () 601 amps to 1000 amps
Supervisor License Number 70S Over 1000 amps/volts
. rD.'\.~l~. Reconnect Only
Expiration Date \ '--'"-L)
Constr Contr. Number';) 0 f l/ c
Expiration Date
~d:?;2;;'le/
· ./ ~\ ~ . .'-./. C/
owners Nam~ C)_'~ ~\
Address~ffi \)(\ "y ~ ~(\l .L.\
City \\~~~ Pho~e1llo'~2S
OWER INSTALLATION
The installatiori is beirtg made on
property I own which is not intended
for sale, lease or ren t .
OWners Signature:
~ATE~~----~----~-~7i~~~~-:~~
RECEIPT #: .\~,. J" _ .f...) ~t1W
RECEIVED BY: /, .. \, lJ ~ J:.:.>
V .' .
$ 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
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t ,
Each Additional
tircuit or with Ser~ice
'or Feeder Petmit
E.
5..
S.UBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 40.00
$ 55.00
$ 80.00
see "B"
10
above
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.60
JAr') ~
4.CO
{ppr CD
. ~
SPRINGFIELD,
The following project as submitted has the following
zoning, and does not require specific land use
approval. \ffU
225 FIFTH STREET . . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9i477 ZOnlnp . \l . qL1l'\-:)Ac::.
INSPEctION REQUEST: 726JtJBJ69 t).1J.. ~ ~ . Ci ty Job Number ~ ,(,AJI V
OFFICB: 726-3759' ...
.. Authonzed Signature 1 ~~~-S FEE SCHEDULE BELOY
l.~I~N . A~
. LEGAL DESCRIPTION
" " lULni"
PermIts are non-transferable and<Jt ire
if work is not started within 18~YS
of issuance or if work is suspended for
180 days.
I
2. CONTRACTOR INSTALLATION ONLY
,.
Electrical Contractor
BILLS
Address
3170 WEST 11TH AVENUE
City
~1Ir,~N~ Phone hR7-1Rl;l
Supervisor License Number 980S
Expiration Date
10/1/95
.r
C. Temporary Services or"Feeders
Installation, Alteration or Relocation
Constr Contra Number
,-
21351
Expiration Date
4I?R/Qcr
The. instdallatioil is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: ---~---~-"$"t4~~. -
RECEIPT I:~. ^ A' ~I ~
RECEIVED BI~~~" . ~
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular. Dwelling
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
Reconnect Only
.200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
Items
Cost
Sum
$ 85.00
$ 15. 00
$ 40.00
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res ~
Limited Energy/Comm
One Circui~
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.' SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00 JlO
$ 36.00
,.(J () ci)
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