HomeMy WebLinkAboutPermit Electrical 1994-9-16
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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.
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