HomeMy WebLinkAboutPermit Electrical 1994-9-20
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SPRINGFIELD
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225 FIFTH STREET Tho following project o. submitted has Ihe ~CAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 zoning, and does nol require spec1f1c land use
INSPECTION REQUEST: 726_3~~~val" City Job Number 9e,t'/'-:;;U!r~
OFFICE: 726-3759 Zonin~ L DIZ-
1. LOCATION OF INf>TALI.AT'friN-Q-Zo-91 3. COMPLETE FEE SCHEDULE BELOV
13rr pl,"'(........"r s+. AUlhor;zedSi~na!ure f)y.y\,JJew Residential-Single or
MUltl-~amllY per dwelling unit.
LEGAL DESCRIPTION Service Included:
/7-&?---:r5-'?"2 , &:>?Y'~
,
JOB DESCRIPI.IO~...,.A. '
M.~~~?L,Lr--:> #~',
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
Electrical contractor~c-/~
Address
City
Phone
Supervisor License Number
Expiration Date
"
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
201 amps to 400 amps
401 amps to,600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
Owners Name\7~~_~' '
Address 1':fJ'i5 ;z::tC?~__.1>.r/ ~.
Ci ty 4;..-~~ Phone ?"2'~.O
O\INER INS AL Ti?N
'\
The installation is being made on
property I own which is not intended
for sale, lease or rent.
i '
Ovners Signature:
l..J/r tJ- - , ,
-~~~--------------------------------~
DATE:_ 9-~ .,?v
RECEIPT tI: 1~7~
RECEIVED BY: .........--Z"", ~ ~ L
''/
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
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 I
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.....-
~~. ....
$ 35.00
$ -r:OO
7'-
not included)
"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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