HomeMy WebLinkAboutPermit Electrical 1994-8-23 (2)
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The following project as submtlted has tho folio
zoning, and does not require specifIc lend usa
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L-De-... r14fV'n n
INSPECTION REQUEST: 726-aJ~9K~l3 -4-f C1 ty Job Number '-"'\ U..J4 '---"
OFFICE: 726-3759
Authorized Signalure f1 ~
1. LOCATION OF INSTALLATION .
~.l?74 ()nuJot:\., <f~INfjF)E1.A_ A.
lrtf5~~ll~_ Ofl\o~
JOB DESCRIPTION
v Fi;t::-"b~ e.. z. a~GJ.ITS -,:z, &FtR~
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
~lectrical Contractor
A~~ /'
Ci ty ~ Phon/
Supervisor ~enXe N ~.r
" ~,\
Expiration Date " '
Constr Number ~
""
/
"'-.
,--;
Owners Name R..);1='1r."f ::r IAvL"p
I
Address J,~ 74 /)~aNI7/'.h
I Ci ty<6>a.'N? FJl?LJ
~ OVNER INSTALLATION
Phone 21./.1, r}7L
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovners Signature~ j)
li40t!J:!b,~
----------- -~-~~------------------
DATE:. .;'-).~q~ ... ^ AA
RECEIPT tV:- )\~
RECEIVED BY: ~ ~ J
COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd'Home or
'Modular-Dvelling
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
C.
It ems Cos t
Sum
$ 85,00
$ 15.00
$ 40.00
v'
<o.1Y
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit ~ $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res .
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
2.00
41J:
not included)
$ 40.00
$ 40.00
$ 20.00
$ 3000
64. l
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