HomeMy WebLinkAboutPermit Electrical 1994-11-8
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The following project as submitted h~s the followln
zoning, and docs not require r.pecilic land use
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
~~~~~~~;;>img~~~~ 9~~~7 3769 Zoninp L-f:)(L City Job Number ~4171+
OFFICE: 726-3759 Dl!ta Vl-K....C( ~ (
1/\'~"-.9>KPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLA~r1z0d Signature ~ .
5~~~Y.Z!'Y7
LEGAL DESCRIPTION
/7~2 '3'3 0 D
(!;) / ~ h1' '
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JOB DESCRIPTION
mer. ~~_77~1
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Permits are non-transferable and expire
if wor~ is not started within 180 days
of issuance or if work is suspended for
180 days.
2 ~ .' CONTRACTOR INSTAL~TION ONLY
Electrical contrac~J~~ ~
Address \\)\9 _\.. 9\oyn 'L Q .J
Ci ty € k. 1) 'Li\ CL 'Phone '\~ . \qD
\ . lP~8 .\~C()
Supervisor Llcense Number C\ 4c:5. '"
Expiration Date \ n, \ .qc':;
Cons t r Con t r, Number \..o?' \ ?,{)
Expiration'Date \~. a~.q~
Signatur of Supervising Electric~an
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Owners Name~JJ~ ~~)
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Address
City
Phone~g~-/417
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OVNER INSTALLATION
The installation is ~eing made on
property I own which is not intended
for sale, lease or rent,
Owners Signa ture: .
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DATE:
RECEIPT #:
nUI"L'T\Wn RV.
11/~AtI-
, j ~ '\ "97
, I;.. -A'
A'I' ~ -
SPRINGFIELD
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A.
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
J-- $ 40,00
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B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 am~s to. 600 amp~
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 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
$ 40,00
$ 55,00
$ 80,00
see "B" above
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D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2.00
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or. irrigation $ 40,00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20,00
Limited Ehergy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 4/) t!r'P
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5% State Surcharge ' ":l..~
3% Administrative Fee -;,2..0
TOTAL .d::1 2..0
Co ~I
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S'~nING.O
The following projoct as Gubmltted' has the f .,
. zoning, and does not require llpecll1c land use
225FIPTB STREET approval, ' ELECTRICAL PERMIT APPI.ICATION'
SPRINGP'IELD, 'OREGON 97477 Zonina t.".OIZ- C'///4 f'I ....,
INSPECTION REOUEST: 726-3769 q . r..-f Ci ty Job Number 7 -,- V ~
OFFICE: 726-3759 ,Data -2..-1 ~'1 , ,
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, . A ' '+ 3.,..JCOMDf.ETE FEE SCnEDULE BELOV
1; LOCATION OF INSTALLATION uthonzed Slgna.ure r- - ,
52,::; <) 2)A:-ISw "'fT. ~/37' A. New ~esidential-Single.or
" I" . Multi-Family per dwelling unit,
LEGAL DESCRIPTION' Service Included:
J7/J2 _~ c:: t2.f) 1O/,'<,CfO 'Items Cost Sum
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
JOB DESCRIPTION
f11,H, f?~
, I
.
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.
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, Electr_i~l_iln~ctor~~~~~__ELtCr:.
Address ~S ~~1 2.>, i. - ,\\fE-- ,
Ci ty _P.Ll (-, ~~_ Phone 12.J1-l5DO
Supervisor Licen.se Number qlt~l.) 'W-/~dd
Expiration Date
to :- \ - C\ C:j
Constr Contra Number (03\:11
Expi'ration Date \2.-L..,_cE?
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Signature of Supervising Electrician
~~~
.. Owners N8:me ,/J 1) lAN\ ' \A.e tAJ.'")\5 S'
Address 40'3 vJ' f\J <;;t--
. Ci ty '.' ~~ Phone /7.h -lr:Z-t/7
,OVNER INSTALLATION
The installatioh is beirig made on
property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
"
. DATi~-:--~o/: Z;r:''1z.r~------------~---
RECEIPr I: - 1 Lf-J ~(p
RECEIVED,' BY: 'ClA/V' 0
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular 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
$ 85,00
$ 15,00
$ '.0,00 .1-0 <fC
S 50.00
$ 60,00
$100,00
$130,00
$300,00
$ 1.0,00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 1.0,00
$ 55,00
$ 80,00
volts see "B"
D.' Branch Circuits
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or, Feeder Permi t
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
4'9TAL~ :?~cl'~;h'.
T1r7"ft- -
$ 35.00
$ 2.00
not included)
$ 40;00
$ 40,00
$ 20,00
$ 36.00
40.00
. , c-D
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J ,"2.0
43,.'20