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HomeMy WebLinkAboutPermit Electrical 1994-12-30 -: zoning, an aces not require specific land us I'lPproval. ' 225 FIFTH STREET ZO~inf1 IV\. p e- ELECTRICAL PERHIT APl'L~CATION SPRINGFIELD, ORE,GON 97476atJ:J 17 ~w ..t1y' flJ' 1\ INSPECTION REQUEST: 726-j/~ ~, City Job Number '-'1- OFFICE: 726-3759 Authorized ~ignature 0- ~ . . i .). COIlFLB1:: ~ SCHEDULE BELOY 1, J.or.A'T'TON 01:' T~S'l'ALLATIOU I 92.b (7-", dn. I( S ('J I...J Gv, r; r.~<fI ' LEGAL DESCRIPTION I~I~'O, # ~ C~,,-,'ht->>Jl ',Z...l 'PW-y\::::: ~i JOB DESCRIPTION 'I IOn I~C>II Rrt-q , Permits aLe non-transf~rable and expire if work is not started within 18. days of i~~I.I~nc;.c 01: if. wOl:k i;:, ':'U"'I't::lfl.lt:U !UJ. 180 days. i ! 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorW9'&JC(')yj I~lc:.. Address PrD ,80>< (o'-/- ~ <:rI--,;." I f\ _ Cf7s~p3h j '7 ( <';1 ty ~1'o,J,..M ' one 7/,9 -;-1 Lj ) OlJpo;l:v;i.,)o~' L,,;i.\;'l::1I.:>t: NI,IUlut::J. 272 b S , !()-)- q,~! Constr Contr. Number -5'Y(Q(,9/ Expiration Date " , Owners Name -Ld.)'y-\ '20"-' C'\:) 1--.) <:: rtf-.J (' +, C ru , i Address P. (). 81"~, S-L I , cr139::!.- I Ci tyTi~ \r~." r~'v-. Phone 7 Lf ::;: .-p I () '2- I OVNER INSTALLATION The in~t~ll~tion ;~ b@ing made on E. property I own which is not intended f.or sale, lease or rent. I OWners Signature: "- j ~::-;~-lg:~~~r-~--;~~... l\J:C~=D .r. j::; I'---'> k~i\ , v .~ - ; I A. New Residential-Single or Multi-Family per d~elling unit. Service Included: 1000 sq.ft. or l~~~ ~ach addit10nal '00 sq. ft or portion thereof Each Manuf'dHome or Modular liWel11ng Service or' Feeder B. Services Ot Feeders: Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 a~ps 601 amps to 1000 amps over lOOQ amps/volts Reconnect Only C. Items Cost SUln I ~s: rP u I , I , I ,.j ! I I I I I I , , I ~ ! Temporary Services or Feeders Installation, Alteration or Relocation LO $ 85.00 200 amps or less $ 40.00 201 t'lllps to 400 amps .,.. '.... $.u55~OO. ,!. Over 401 to 600 amps $ 80.00 ! Over 600 amps or 1000 vol ts see "B" abovel I Branch Circuits $ 15.00 S 40.00 $ 50.00 $ 6n.uu $100.00 $130.00 S::iOO.oo $ 40.00 New, Alteration or Extension Per Panel One Circuit Each Additional Cl~~ull vc wltb ~ervlce or Feede~ Permit $ 35.00 ! I i not include9> $ 2.00 MiseellanQou~ (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res . Limi ted I!lnO;L'gylOollllll S. SUll'I'O'l'AL OF hDOVE 5% State Surcharge 3% Administtative Fee ',nJ'J.'AL $ 40.00 $ 40.00 $ 20.00 S 36.00 g~o:ob tti;srff I :J-.S. 5"9- q/,<;{,D () >' I rJ I.I~" U t " ,1'1 ...i...l . -l...1 ~"':;ji)..J j ....'w' './VI'j',., :_I..l'J.'i..1 I/L,l, ,.;'~l\. -L.. ., ~.j ,,-,~ 'fhe lo1\ow\ng ~~~~~~t ~~q~ire specllC Iii I zoning, ~nd d I 225 FIFTH STREET approval. I fYVDL SPRINGFIELD, OREGON 97477 Zonino: INSPECTION REQUE'ST: 726-:.~1~...io ..-<J11 OFFICE: 726-3759 Delta -::::;'--}.J (Y'- J honzed Sig:,1aturCl. ;j . 1, Tnr.ATTON O~ TNS~AL~TION I ,926" rlN dR \(~.Q../-l Gv, F; (~41_,_, A. , 11 # LEGAL DESCRIPTION B IOj~' I C~.--.> 'Thl--''-' I '1 I Pc>>-y\c l~i_ I ' JOB DESCRIPTION i IOn Ih:>'II+r+<3 , Fermitsare non-transferable and expire if work is not started within 18~ days of i~~u~n~c oc if'wo~k i~ ~u~pt.N~J !u~ 180 days.' I ! 2. CONTRAc:rOR INSTALLATION ONLY B. Electri~al ContractorW9-1UC'rH--J 1~1c... Address PrD ,8e:> K (nL/- c:- I '----'- <,,-'N--. I f\ _ Cf 7"5'6"3 j ( (.;ltY_')f if1y1'n0, (\J(, Phony...:z.Ez...9 -;7Y'3 ;;;Upe1:V;L')O~' I..;i....a::ll~~ NI,Il11Ut;.!~ 272 cb s I Expiration Date ID-) - q,~! Constr Contr. Number S1{Q(, C; , , Expiration Date lD-1.'-l- Cf"-l I . I Si~ature I ~tt $)tPfjrv:,~~g ~~:. t9~an r~dflV~( ~~ LJ I D. Owners Name /rh)'y-1'20,u C\:J~.)~rl-f--J"+'CI,.) I ' Address 'P. (). 1~ C")<:. S-L I orl'39~ [ Ci tyJ\~ Ir~ .'< r~'r. Phone 7 lf '< '-S2 I () 2-. OllNER INSTALLATION The in~t~ll~tion ;~ b@ing made on E. property I own which is not intended [or sale, lease or rent. OWners Signature: =:~-~~-----~w~~ )~~. uc~r""D'r, ~_) ,,~. i ELECTRICAL PERHIT APllICATXi'. Ci ty Job Number '-1{ \ -- - COMPLETE FEE SCHEDULE BELaY i i, I New Residential-Single or Multi-Family per d~elling unit. Service Included: 1000 sq.ft. or l~s~ ~ach additional ~OO sq. ft or portion thereof Each l1anuf'dHome or ModUlar Dwelllng Service or Feeder Items Cost Sum I ~ $ 85.00 ~D I I I $ 15.00 i ! I .J. $ 40.00 ! Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amos 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 S 60.UU $100.00 $130.00 S~(J(J.OO $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less ."" $ 40.00 ;.0 h, " 201 tllllpS t-:> 400 amps .,..' ..... S,..55~OO ~ ' Over 401 to 600 amps $ BO.OO I Over 600 amps or lOOl) vol ts see "B" abovel , I Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional ClLcull uc wl~h ~erYlce or Feeder Permit $ 35.00 $ MiseellanQou~ (Service/feeder -Each installation ' Pump or irrigation Sign/Outline Lighting Limited Energy/Res . Limi ted nneq~;y/C';;'lllI" I i not include9) 2.00 s. $ 40.00 $ 40.00 $ 20.00 S :)(S.oo ~':8Q:c>b 54-i'Ve; ~O.4-n 734:,40:-' SUBTOTAL OF ^BOVE 5% State Surcharge 3% Administrative: Fee 'J,'UTAL