HomeMy WebLinkAboutPermit Electrical 1994-8-30
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The, following project es submitted has the f
zoning. and dOGs not require specific land
approveJ.
225 ,FIFTH STREET Dr?
SPRINGFIELD, OREGON 97477 Zoning L. l<:/
INSPECTION REQUEST: 726-376!bete_~";~~'l<.J City Job Number_ QJ/0#5-:A:::>
OFFICE: 726-3759 +
0?J"k' .r4:6t~~zed Slgneture '3. "'etdKPLETE PEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
q01J FII/I! W AJ
, LEGAL DESCRIPTION
I?~ 3-~c,/-<'";;! / (!?~ V
JOB DESCRIPTION
I ~ / 1Zt; A/E<-u
li~'
j/ouc, E
. ' ,
Permits are non-transferable and expire
if york is not started within 180 days
'of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.tI. ~b~f/~
eJt:ZT
Address 1t-~
City ~frt?,
s f{ ~u €-c..r
<""T1t! .
Phone 747- o[c II
, Supervisor License Number '3 c:5 21(., - S.
Expiration Date
Constr Contr. Number DI 'irS <;<--
.i:
,Expiration Date
Signature of ~ervising Eiectrician
~~~ ...~--
owners ~e V
Address
City
'Phone'
OVNER INSTALLATION
The, installation is, being made on
property I own ,which is not intended
for sale, 'lease or ren t .
'Ovn~~s Signatu~e:
DATE:
RECEIPT, II: '
RECEIVED BY:
e;....~~'9c/
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.
SPRINGFIELD
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Hulti~Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf,'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
Cost
Sum
<6 S; o..sL
$ 85.00
.3
4-S0;:'"
$ 15.00
$ 40.00
$ 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
D.' Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts ,see "B"
above
New, Alteration or Extension Per Panel
, '
One Circuh
,Each Additional ,
Circui,for wfth Service
or' 'FeederPe,rmi t
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Puinp or, irrigation $ 40.00
Sign/OutlineLighdn~ $ 40.00
LAmitedEnergyVRes $ 20.00
,Limited Energy/Comm $ '36.60
5. StmTOTAL OF'ABOVE J 30 05L
5% 'State ,Surcharge ~ ~
TOTAL ' ' ':3 ~
+ ?F'1o M\'f\'\f\ re..~ 1404-:--