HomeMy WebLinkAboutPermit Electrical 1994-3-31
The following project as submitted has the following
zoning, and does 110t require specific land use ' ,
225 FIFTH STREET approval.' . ,# ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477Zoninp ,L DL-
INSPECTION REQUEST: r.Z.~6-3{6~ I - 9L!
OFFICE: 726-3759 UCl4,. ' rJ"
- Authorized Signature - f\- r J"I'...;
1. LOCATION ~F INST,AL, LA,TIO, ,N,
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LEGAL DESCRIPTION
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Permits are non-tra~ferable' 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 c~ntractor_~~~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
, "
,Signature of Supervising Electrician
r Owners N~me ~c:.. _.A/~.BL'-5
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:5?~~Phone/~'" SI~'T
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OVNER INSTALLATION
Address
City
\
The installation isbeirig made on
property I own which is not intended
for sale,lease ot rent.
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DATE~--~1--()-~-~2--r-~-~r(7------
RECEIPT" it: /";?-,./-g ~ !
RECEIVED BY: /' A"~ '",
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5.
City Job NUmber ~~~~~~
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi~Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
. $ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
------ $ 35. 00 ?flS::...-fS
One Circui~
Each Additional
Circuit or with Ser~ice
or FeederPetmi t 1.-- $
2.00
~.........,
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
SUBTOTAL oF' ABOVE
5% State Surcharge
TOTAL
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