HomeMy WebLinkAboutPermit Electrical 1994-7-18 (2)
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The foflowlng p10jeet as submmed haS the lollowln
zoning, and does not require opocillc land uoe
approvol.
225 FIFTH STREET Zoning L--Of.-.
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 7~Q ?-1'O-ClLf
OFFICE: 726-3759 Authorized Signa!ur.--L!.M
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1. LOCATION OF INSTALLATION
~11 r:;-/JRl)/ftff 7YJ? A.
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LEGAL DESCRIPTION
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Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor...il.J&SLl gJ6"-'~~~
Address J "L <; VI} J aJ2 57:
Ci ty )1j/R)2.#.
Phone_u.,,--:l !3.t.
Supervisor Li cense Number /0&1 ~S
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Expiration Date~ -/ -yaJ-
Constr Contr. Number-6-9.7.~ S-
Expiration Date 9- ~- py
~f Supervising Electrician
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Ovners Na~ ~ ~('\ 0 (\ ) .
Address PAq ttJ ~
Ci ty ~ _' Phone 14:4 .lrtllo(P
O~ I~~LATION
The installation is being made on
property'I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-:~-----ry-\~~tt--;;cr~~--
RECEIVED BY: \.j \~! )V\...... ,- .~
ELECTRICAL PERMIT APPLICATION
City Job Number ~\~
vvn<~.~ <~E SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost as
1000 sq.ft. or less r $ 85.00
Each additional 500
sq. ft or portion 61. 30
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
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
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/Outline Lighting $
Limited Energy/Res $
Limited Energy/Comm $
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL