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HomeMy WebLinkAboutPermit Electrical 1994-9-16 , f, ,-' -;',;,1;' 1 . " Th<:i following project a9 sU,bmlt\ed, h&S the 'lollow!n zoning, and does not reqUIre specIfic land use approval. Zonina /;Y? PJe. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-fJ~9 OFFICE: 72,6-3759 ?-I&-11' Authorized Signature, 1. lo,~ATION O~ I~s:rALLATIO~ f~ LEGAL DESCRIPTION )/OS L ~ '140 L-14o"L JOB DESCRIPTION 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 El~c trical ContractorCROUJV01 {('f"j Address P.o, &ox ~d-~~ 1 I Ci tY'~4 ~ v&. D(1. Phone (;~~ -<Z.375 Supervisor License Number 30 a-C; 5 Expiration Date 10 -1- c;c; Constr Contr. Number S7~~~t) 5-~~ Expiration Date ELECTRICAL PERMIT APPLICATION City Job Number 91/ cfD 5~ /J ~ G<>>WbETTI r:m SCHEDULE BELOV B. [(-edr,'c Signat~re of,Supervising Electrician IA)~ 4-~~' {j D. Owners Name E"JJ<77fL C~L..~' Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature:, ' ---------------))'----1.---------------- DATE:' 9/10 /9"1!-- RECEIPT #: c( I ;Q'72 ~ ' RECEIVED'BY: 4)'~~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ,. Sum Items Cost , 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof " Each Manuf'd Home or Modula,rDwelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100..00 $130.00 $300.00 $ 40.00 ." C. ..JJi~(' Temporary/Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amp's .d''''' to..,600 amps amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above / New, Alteration or Extension Per Panel $ 35.00 3)6-0 I One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -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 $ 2.0.0 not i~cluded) ,. $ $ $ $ ~ '5" 6--D 1,7J /~oS- ~q~gO 40.00 40.00 20.00 36.00 - ,. .' . 225 FIFTH STREET, SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 '1. LOyATION O~IN~LAT'rO~ 4:2 /()/q,' ~( , ' -<b) : I. LEGAL DESCRIPTION 'JOB DESCRIPTION "Permi ts areno'n-transf~rable' and expire if work is not started within 180. days of iisuance or if work is suspended for 180. days. ' 2. CONTRACTOR INSTALL4TION gNLY B. Elec trical Contrac torCROU-JVC1'((-e.j [(.edt-l'c Address PD~ Box ~dS~~ r i ' ,Phone G~~ -SS.3 75 30a-'I5 Expiration Date IO--/~?C( Constr Contr. ,Number L7.57rEJ Expiration Date 5-~S , C i t Y ~..c.JQ, ~ lAC!.. D n. , \j Superviso~, Lic~nse Number Signat~re 6fiSupervising Electrician ! A')~/) . ,4-. ~9/?- Owners Name f?/)/ p 'C~L-=)~ Address Ci ty" Phone . OVNER INSTALLATION .' The installation is being made on property I own which is not intended i6r sale, l~ase or rent. Q\mers Signature:, -----,-----------,)/'~~7-~~-----~--------- DATE:. 9.I'lh 7?!-' RECEIPT *: ' /4 ~7L ~ RECEIVED BY: ,J/X/.-') , ELECTRIcAL PERMIT 'APPLICATION City Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Incltided: ' Items 100.0. sq. ft. or less Each additional 50.0. sq. ft or portion thereof " Each Manuf~9 Home or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 20.0. amps or less 20.1 amps to 40.0. amps 40.1 amps to.,6aa amps, 60.1 amps to 10.0.0. amps Over 10.0.0. amps/volts Reconnect Only , CI4'!~D 6' ,. C()st Sum $ 85.0.0. $ 15.0.0. $ 40..0.0. $ 50..0.0. $ 60..0.0. $10.0..0.0. $130..0.0. $30.0..0.0. $40..0.0. C. Temporary Services or Feeders Installation, Alteration or Relocation' 20.0. amps 20.1, amps Oyer 40.1 Over 60.0. or less to 40.0. amps to 60.0. amps amps or .100.0. D~ ' Branch Circuits volts $ 40..0.0. $ 55.0.0. $ 80..0.0. see "B" , above '/ Ne~, Alteration, or Extension Per Panel $ 35.0.0. g)',-'ri/ Miscellaneous (Service/feeder -Each installation Pump' or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. s. SUBTOTAL OF ABOVE 5% StateS~rcharge 3% Administrative Fee TOTAL $ 2.0.0. not i~cluded) ,. $ 40..0.0. $ 40..0.0. $ 20..0.0. $ 36.0.0. '/ J- 6-V ..::.~ I {.'~J- /~ os- 3 7- go