HomeMy WebLinkAboutPermit Electrical 1994-10-26 (2)
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The followin9 prolect as submmed hils the followln
zoning. t'l.!',d does' not require opectflc land use
225 FIFTH STREET approval. /J ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning ,,^Dt2-- /73 r l/lH
~~i~~IO~2~~~~T: 7260',7.69 10- 2& -4'{ Ci ty Job Number '11 'I
Authorized S!9nalur. iJr.-;.... COMPLETE FEE SCHEDULE BELOII
1. J.!>.CAIJON OF ~TALLATIO~ I 7'\-#
~~..2.4 ~-f-ne'i.J.t-I-f'\L~ ;t.-r<--A. New Residential-Single or
I j Multi-Family per dwelling unit,
/~ DESCRIPT~ Service Included:
/ t: ()~ 06 r--J/{) / (~o() Items Cost
1U~7~JDE~:P.oN ~.5
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
Electrical Contractor
Address
Ci ty
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
\
Expiration Date
Signature of Supervising Electrician
Owners NameJ-esS f5p?ft){)J!...:S
AddreSS~d-?~ D2-
C~v?{?.LJ1r.,f1.,{;1.D Phone 717 -5001
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
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ot-7,-~;j{;-::--qzr-
RECEIP( #: (9/ heY;),<
RECEIVED ~....--' ~A /'~
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'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
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Sum
J> J. tJO
$ 85,00
$ 15,00 q{). 06
$ 40,00
$ 50,00
$ 60,00
$100,00
$130,00
$300,00
$ 40,00
.'
C.
Temporary Services or'Feeders
Installation, Alteration or Reloc<Ltion
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 "Ii" above
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
not included)
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
$
$
$
$
1b 175,0<)
L:r?
S.as
Jf--I )(1q. 00
40,00
40,00
20,00
36,00