HomeMy WebLinkAboutPermit Electrical 1994-10-31
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The following project es submitted has the following
zoning, and does not require specific land use
approval.
225 FIFTH STREET !-})R. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoninp <-- .' /)LI '
INSPECTION REQUEST: 72~dl69 /O~~3/-C;~" Ci ty Job Number ~-+-/ f&?(;; ~ '
OFFICE: 726-3759 " . - \ '
Authorized Signature )J f!::J COMPLETE FEE SCHEDULE BELOV
1. :;:;0 ATION OF INSTALLATION
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( 1. ,
'LEGAL:DESCRIPTIO~ '
,/78 S 2.3 '~~, 19~/CJ-O
JOB DESCRIPTION
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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
Electricai Contractor
Address
City
,Phone '
Supervisor License Number
Expiration Date
Constr Contr. Number
.i .
Explra tlon Date
Signature of Supervising Electrician
Owners Name. ~~ ,)C;W8?r)
Address ~!
Ci ty :)~~
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Phone 7~7-?/...../S-
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent. '
Owners Signa ~eV
a6,~Jd/f~~
----------------.----;;7----------------
DATE: /0/731"7 rei
RECEIPT #: (/:!: 2. $ 7
RECEIVED BY: /~ A-"'1. .
4. ' - -
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
201 amps to 400 amp~
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
.'
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 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 o'i. irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted, ~Energy /Comm
One Circult
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~$ 35.00 ~
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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