HomeMy WebLinkAboutPermit Electrical 1994-7-18 (2)
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The following project 8S oubmlltad hall the 10
zoning, and does not require specific land use
approval.
225 FIFTH STREET L.O // ELECTRICAL PERMIT APPLIC~TIO
SPRINGFIELD, OREGON 97477 Zonlnq Ie.-- r\/\\
INSPECTION REQUEST: 726-D\7~_ / [-'1'f- Ci ty Job Number '-1'\
OFFICE: 726-3759 . / I
.Authorized Signature /7)';Y( COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
5. ~ J ,- c:: AFlJR /I I ~)',
LEGAL DESCRIPTION I ~D2Df.D 00 cnqoo
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JOB DESCRIPTION \ fft
A/Jh.-l j /'~~~ S~ Qo 1:\ J s:l
Permits are non-traftsferable 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 ~U7(\ f'ltclRIc...
Address \-::l Slk) ",e<l ~+,
City IYIAc-I e A<'"
Phone 4l5-dJ3. Cj
Supervisor Licen,se Number I O()ln S
Expiration Date
IrH-C;('
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number ("~14-;-
Expiration Date Q-4-QL.j
Signature of Sup~ising Electrician
~A./~_.A~
, Owners Nama- ~ .lOP..1\..) -
Address8q:1 ..~
City ~N. Phone']44 (d11:i,o
\ I) ,
OVNER INS~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~------7f~T g4-~~~
RECEIPT II: . ' l:-HLYl>
RECEIVED BY: .' .'--
, -
A.
New Residential-Single or
Multi~Family per dwelling
Service Included:
Items
1000 sq.ft. or less l
Each additional 500 '
sq. ft or portion 1"\
thereof cr-
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D." Branch Circuits
unit.
Cost Sum
$ 85.00 BS
$ 15.00 30
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "Bit
a liiiVe
New, Alteration or Extension Per Panel
One Circuit
Each Addit ional
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
TOTAL
$
$
$
$
~~
la~.dD-
40.00
40.00
20.00
36.00