HomeMy WebLinkAboutPermit Electrical 1995-8-2
, The foll~wir.g project as submn:\ed hfi,S the toilowin.
2.;Jnin~J, and doei~ not r€quire s.pecific !;::,r,d U$G
approve!.
Zoning ,~
Dt~te"-1..;Z-::1!j ELECl'RICAL PERMIT APPLICATION
974i1.J.horized Sig:1at\.:~a ~-' qc 117'7
726-3769 City Job Number ~. ~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
Jfzo tb,/C()O Wk:.4
LEGAL DESCRIPTION
I/'J~ 2/" 3'-1
"" I
JOB DESCRIPTION
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Permits are non-transferable and expire
if ~ork is not statted ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor '3(eL$V~ Qt.:e~{~
Address P,O "I6o'X 1'1-6'
Ci ty OC?XT-e(i~ Phone Cf31'" '337 L
Supervisor License Number 4014-;;
Expiration Date /D.-/,.,-15
Constr Contr. Number .;20,..,373-<::
Expira tion Da te Z..-I if r 9 J:,
Si~~ng Electrician
O~ners Name S I t/l/l?rJ
Address' Uk)
~
City$roa~
,
O'ilNER INSTALLATION
lAJ ..e~ (,1+1
/3t20 AP l^J At 1
Phone
The installation is being made on
property I o~n ~hich is not intended
tor sale, lease or rent.
Ovners Signature:
----->9-----, ----~-----~---------------
DATE: a. - fr c; ) ,
RECEIPT #: 0/05&/ ()
RV,C:F.lVED HY: N a..-t.....~
3. COMPLETE FEE SCHEDULE BELO'll
A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
ModularD~elling
Service or Feeder
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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50
C. Temporary Services or Feeders
Installa~ion, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lQOO
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80~00
volt~ see "B" above
"
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
, or Feeder Perrni t I z..
j
$ 35.00
'-.rl
$ 2.00 ::l4,~'
no t. included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
71-&.5:--
3,7{)
2-. 2-2-
:--;q.92-
40.0q
40.00
20.00
36.00