HomeMy WebLinkAboutPermit Electrical 1994-6-9
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The. following project as submitted has the following
zOning, and does not require specific land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON,97477 Zoning 1Y\ O.e..
INSPECTION REQUEST: 7~~lJ3769 6-'1-14-
OFFICE: 726-3759 ' - ,
Authorized Signature
1.
LOCATION/OF IN~T~~~ON
41.'l0 ~ c?0 !tV .
LEGAL DE~pp:PTION J"
/7 D2--3 '2,L( '.) 007,?)
JOB DESCRIPTION _ M." /'
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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
Address
City
Phone
'Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name '/ gAA,rt! ~13~')
Address 7 ?Jl~ ~fAA/A 1?-m ;;/
Ci ty SfY Phone 7t/0 -6?J2-;t
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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/":./\ C::?-C--C.r f:.l"'-Ji /" l' R..' :_("~ '~-....
(~/ ~-------__':"'__(L_~__::"J. '---~--------------
DATE: II? - q -7
RECEIPT :it: ' i~ ~"7'"J?p7
RECEIVED BY: /~ A/\ ~ '
ELECTRICAL PERMIT APPLICATION
, Ci ty .Job Number Cillo 1 ~'5
1-., \ ~ ~ COMPLETE FEE SCHEDULE BELOY'
A. New Residential-Single or
Multi-Family per dwelling unit.
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 Se~vices or Feeders
Installation, Alteration or Relocation
200 amps or less j
201 amps to 400 amps, .'
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00 40150
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump o'r iriiga tion
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
~% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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