HomeMy WebLinkAboutPermit Electrical 1994-11-14
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225 FIFTH STREET I yv\ 1\ //
SPRINGFIELD, OREGON 97477 Zon~ng~
INSPECTION REQUEST: 72~69 ll~ I +~~
OFFICE: 726-3759
AuthorIzed Signature Y\t- COtolPl.F.TF. FEE SCHEDULE BELOY
1, rnr.ATJON n~ ,TNS~ALLATION I
OJ..Y.., ~-<;DP L~ E-~" r- "A. Ne.... Residential-Single or
~, ::-f.!H,~, Mul ti-Family per d\lelling
LEGAL DESCRIPTION -! 'I " Service Included:
&,,~:;'~~s~;:o~~:, \ -r;.J~&(YSo:o ~.ft. or 1... l~'
IDC'J \.A ...,rt. f-1..(';)r-~ ' .......-~ J:;ach addi tiona1500
sq. ft or portion
thereof
Each Hanuf'dHome or
Modular DYelllng
Service or Feeder
Permits are non-transf~rable and expire
if work is not started within 18<jJ days
of i~~u~ncc or if'wo~k i~ ~u~pclN~~ !u~
180 days. i
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2. CONTRACTOR :mSTALLATION ONLY B.
Elec tri c.alcon trac torwwG~~ c.:..
Address p, f) I 8D ~ (0 Lf~ I _
_I ~q,1~3 ~ ~"
t;lty:5f~y'7'nfJ ( l~~. Phone ~-qCf.5 (
::;uperv1~o~' L.:i.\am::>t:: NUllIl.It:!1. ?-12d,-5
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'Expiration Da te /6-(":" 9S- t
Constr Contr. Number__S'iS'cu,q
Expir-ation Date If) -2-LJ.-~q';- I
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'Signatu~e of Supervising Electrician
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J.&tJ1~~', ~ C--ra-..~~ :
Owners Na'me l1',)YI"LQU C'C2.:oc;/-W1.J, ~
AddressP (L t8q<) X ~(o I ,
, q13 q 2....-' I
Ci ty ~A\'-~D(,- (~r Phone 7 LI ~- /_Y 02-
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OVNER INSTALLATION
The in~t~ll~tion ;$ b@ing made on
property r own which is not intenced
for sale, lease or rent.
Owners Signature:
DATE;,=-~--~--,- -~t~ ~----I-'"
RECEIr.l.' If: J r \ ~A (",
, uc~tvr;D Dr;-U\\JJO~)~tW-):
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ELECTRICAL PERKIT APPLICATION 1 ,I
" ,'4 L I
City Job NUDlber g .'
Services or Feeder5
Installation, Alterations
or Relocation:
200 aMps or less
201 amps to 400 amos
401 amps to 600 &Illps
601 amps to 1000 amps
Over 1000 amps/volts,
Reconnect Only
c.
unit.
Cost Sum
I
.$ 95.00 11QJrw
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$ 15.00 I
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"j,
S 40.00 !
$50.00
S 6n.lJlJ
$100.00 '
$130.00
~::l()O.OO
$.40.00
Temporary Services or Feeders
Installation, Alteration'or'Relocation
200 amps or less $ 40.00
201 t1l11pS to 400 amps u.. . .... $..,55.00
Over 401 to 600 amps, '$ BO.OO
Over 600 amps or 1000 voltssee'"B~'
Branch Circuits
D.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
C1Lcull ur with ~e~vlce
or Feeder Permit
E.
Miseellanaouz (S~rvice/feeder
-Each installation ' ,
Pump or irrigation
Sign/Outline Ligh~ing
Limited Energy/Res .
Limited Dnel.'gylCo:.llIlII
s. SlIJ.lTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
'..l'U'J:AL
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not includecp
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$ 35.00
$
2.00
$ 40.00
$ 40.00
$20.00
S '6.00
/7S .ne
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U{'-3./C 0
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abovel
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I v.. V I "J';l~ I,. rOje 1 as SU~....~1rr s~ n~.s tne TO :.'
zoning, an~ doss not require speciilc land us " "',, ."
225 FIFTH STREEr ,approval. I ELECTRICAL PIDtKIT APPLICATION
SPRINGFIELD, OREGON 97477 Zcninp m DI? q~
INSPECTlON REQUEST: 726-3769 ~ . City Job Number J
0~2.: 726-3759 Date "- '1-9'-t
1 ~ J.or.<iON rT:' nJS'l'A.LLA.~rlzedISignature II ~~ 5fJ1f!.fETE FEE~CBEDULE BELOY
~\..r I~~R..-~().u LN., 5:.r:ic..i A. New/Residential-Single or
LEGAt DESCRIPTION '1033~ \ \ O~o~~~;f~;a~~~ru~:~: dvelling unit.
CO'l....,TB"'-' 1>.)1 ~( fuJ< [)~.J.-.,. , ' Items
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JOB DESCRIPTION i 1000 sq.ft. or i~ss
100 1.A.#...l ("t-f.+r-- \/ ~. J::ach addi tional '500
t sq. ft or portion
thereof
Each Manuf'dHome 01:'
ModUlar DWelllng
Servi~e ~r Feeder
Permits are non-transf~rable and expire
if work is not started within 18<\1 days
of i~~u~n~c orifwo~k i~~U~PC1~~~ !u~
180 days. !
2. CONTRAc:rOR INSTALLATION ONLY B.
Electrical contt'actor~;:[ 1U'.7rIc..
Address p,O I ~C) K (PL{';:- I '
Q1-38"3 '
(;ltYSrf1r:,~~lJ . n)~-. _ Phone...:2f, Q--4JLf'31
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Oupet:v;i.~o~' L..;i.\;"'U~t: NVIUUl;!'" -:1 7 210 ~ .3
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Expira t ion Date It) ';"1 - q :C;-1
Constr Contr. Number 09iCf b ~
i
Expi["ation Da telD -'2Y - 9\-1
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Signature of Supervising Electrician
I
f~. ~Jt,.;~ '-l /, ~~ [
. r.: D.
Owners Name 11on,:1.op C~~s.rf+k.dJ'l(v:,)
i '
Address PO, ~~ ~ r.C:;- k, I
9 I ~'12 - I
Ci tY"fUYIUIL\- (().r, Phone 71""$-2.( 6 ::L--
I
OYNER INSTALLATION
Th~ in~t~ll~tion ;~ b@ing made on Eo
property I own which is not intended
for sale, lease or rent. I
OWners Signature:
DATE;-------------\\~~-- -/7
RECEln if: ~ ~ " \ c. ?-iCY
l\l';Cfirv:r;r; nr; U \J~ J I..-'r--
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
c.
Cost
tb
$ 95.00
I
Sum
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t~D
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!
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Temporary Se~vices or Feeders
Installation, Alteration or Relocation
200 amps
,201 ~lllns
Over 401
Over 600
$ 15.00
" $ 40.QO
$ 50.00
S 60.lJlJ
SlOO.OO
, $130.00
SJOO.OO
'$ 40.00
or less $ 40.00
to 41)0 amps .c, q,.. $..,55.00
to 600 amps $ 80.00
amps or 1000 volts see liB"
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00'
One Circuit
Each Additional
C1L~ull ,uc Wllh ~e~Ylce
or ~eeder Permit
!
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I
not include9)
I
$
2.00
Mi~eell~ncouz (Serviee/feeder
-Each installation
Pump or irrigation
Sign/Outline Ligh~ing
Limited Energy/Res .
Limited nneL'l~;y/Co;.lIlI/1
s.
SlIGTOTAJ. Of' ABOVE
5% State Surcharge
3% Administ~atiYe Fee
'.I.'U'fAL
$ 40.00
S 40.00
$20.00
S ~6.00
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(off,DU
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