HomeMy WebLinkAboutPermit Electrical 1994-4-22 (2)
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SPRINGFIELD
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The following project as submitted has the following
zoning, and does not require specific land use
approval.
225 FIFTH STREET . L:De.
SPRINGFIELD, OREGON 97477 Zomnp
INSPECTION REQUEST: ~,,3769 4-'l..'.J:f.l..( Ci ty Job Number
OFFICE: 726-3759 t-J. '"" .
Authorized Signature J. e6ttptE'fE"' FEE SCHEDULE BELOV
1.' ~,l OCA'JfIO~ ~~ T UV'ION ~.I\., \
~"'")~ 0 ~ n ~ ) ( .-L.[)C \:\
. . . .
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~ DESQUrrA>N .
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Permits are-~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days~
CONTRACTOR INSTALLATION ONL
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t. '.
Items
Cost Sum
Contractor
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof. .
Each Manuf'd Home or
Modular Dwelling l
Service or Feeder
$ 85.00
$ 15.00
$ 40.00 4D
B. Services or Feeders
Installation, Alterations
or Relocation:
Address
/
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'
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Cont . Number
~
Expi'ra on Date . ,. ~
SupervisIng Electric~
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
City
. Supervisor
Expiration
200 amps or less
201 amps tQ 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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> 'phone' L\l\a. ) I (tf'
STALLATION
D. Branch Circuits
io
. .0'
Owners N
Addrest
Ci tyYJ
-e,. -
New, Alterati~n o~'Extension Per Panel
O\u,t.n
. -;.
One Circuit
Each Additional'
CircuiC.or with Service.
or Feeder' Pe.rmi t
$ 35.00
$ 2.00
The. installation is being made on
property.X own which is not intended
for ~~le, 'lea~e or rent.
Own ~ignature: '"" ,','. "
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RECEIPT, I: .~. !\A.. }JM.~~\
RECEIVED BY 7 L}LA--/" "--'\ -
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E.
Miscellaneous (Service/feeder
-Each installation
Pu~~ or, irrigation
Sign/OuqineLighting
Liilt! ted, Energy/Res
Lind ted Energy/Comm
. '.' '. . , '
. .
not included)
'. . . . ~. . .'
$ '40.00
$ 40.00
$ .20,.00
$36.00
4TJ ,CC?
, 41'~ZJd
5,.
SUBTOTAL OF ABOVE
5%'StateSurcharge
,TOTAL .