HomeMy WebLinkAboutPermit Electrical 1993-10-5
-/"
e 0 0... " }.. \.It:"~..... "". ,. . r-
zoning, arc:i ,J _'c" not reqLlire specific land u...
appr;wdL
225FIFTB STREET Zoning UDJ--
SPRINGF'IELD, OREGON 97477 \ 0 (.tA"?)
INSPECTION REQUEST: 726-3769..;a----1-=-~:.\;.L- dAJ, ^ .
OFFICE: 726-3759 Authorized Signature rtW"-----
3. COMPLETE FEE SCHEDULE BELOV
1; LOCATIO!f, OF INSTALLATION ("""")
,.:?b5ZJ5" /;5ra-nd. "S"~ - ~bC:bL
.; ~
LEGAL DESCRIPTION
} q 0:2 i '" 000 100 I
. JOB DESCRIPTION
( fLS -kll tYt-rrt er f; ecJ- pu V<n ra
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
" .
Ele~trical Contractor
""I
Address', I
~
Phone
City
""
Supervisor License Number
.'-
Expiration Date .~
Constr Contr. Number ~
~.
Expiration Date
..
Signature of Supervising Electrician
.. Owners Name' '4.hi1-1-: K~ f' I/e.. <2-
, / '
Address 00S7J~ A:Jl'1:U2d s: ~ J
CitYI~ rU1C1.c(JicL Phone ~4'7-~.!/5;-
~ II I J
OWER INSTALLATION
The installatiori is beirig made on
prope~ty I own which is not intended
for sale, lease or rent.
0Wn~ Signature:
I:1Ujl~~X "L5JAAk
, I '
DATE~------~---'01~J~7~---------------
RECEIPT I: ' j () l.()";).
RECEIVED BY: ap,
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 03 ) yq~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 110.00
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
$ 40.00
$ 55.00
$ 80.00
vol is see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circui~ $ 35.00 ~S,OO
Each Additional
Circuit or with Service
or Feeder Permit I $ 2.00 ~.OO
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~-'L () ()
5% State Surcharge 1.~~
TOTAL '::a, ><. &'c::-
"