HomeMy WebLinkAboutPermit Electrical 1993-12-20
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The following project as submitted has the following
zoning, and does not require specific land u~e
225 FIFTH STREET approval. ' , ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOning~
INSPECTION ~QUEST: 726-3769J d ~ de:> ~ (', ~
OFFICE: 726-3759 Ome I~_
Authorized Signature ~ c::::: 3 .
1. LOCATION OF INSTALLATION
J..J.j.tJ-<6 ~IUI{\O , n I H>..
Ci ty Job Number 9"3 ~~ 9'
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Mul t i-Family per ,dwelling
Service Included:
A.
uni t.
LEGAL DESCRIPTION
//~ ~-2 Y'- ~_ ~ ';.o.-l>
Cost
Sum
It ems
$ B5.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
11~f\J \..hlnt:"~, i11/IOKW
Permits are non-transferable and expire
if work is not started within lBO days
of issuance or if work is suspended for
lBO days.
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor Qit~ 8nill"rtJ fl\ ,tI.'1iJ\C,.
I I
Address P,D,~rJ.. /tj..Z1->
Ci tr-..~ri\.l'IY\~~ Phone '74-1- ?-~3 b
Supervisor Hicen,se Number 1"2 b S
10 - / -Qf)
Constr Contr. Number ()~'iJq
q -I - crt/..
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to'lOOO amps
Over 1000 amps/volts
Reconnect Only
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
'$ 40.00
$ 55.00
$ BO,OO
volts see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Expiration Date
SI?);'y2~3t~n
. o~n;rs Name ~1'O~17
Address~L~ 0 lV\.\\ ol.J1 ne l .
City~tU \ Phone'14h-4%D
o~ I~~ALLATION
Branch Circuits
D.
New, Alteration or Extension Per Panel
$ 35.00 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
$, 2.00 :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 Energy/Comm $ 36,00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
3rt. 00
I. ~5
~5? ~5
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
DATE: 1'2 -(f->-'9~
RECEIPT I:_///~
RECEIVED BY: ~/.r.""6-
.