HomeMy WebLinkAboutPermit Electrical 1995-1-26
The following project as submftled has the fol!
zoning, and does not require specific land use
approval.
225 FIFTH STREET / ~ (2
SPRINGFIELD, OREGON 97477 Zonino \.......1/) '---
INSPECTION REQUEST: 7 26-3~~9 I... Lr J -1 ~ Ci ty Job Number
OFFICE: 726-3759 ' ~J ~A
Authorized Signature--I.::.3f -, ':'O-V1>T1?l'E f'p.R SCHEDULE BELOV
1.--}, 9f~T-::l{IO,N ,.Q~ I~1i!~TJPN )
ILJ~t~ ~~~ A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
_l-loa~~ON (A~~
~~D~S~J:\~~ .~ /1t;1o.5&
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 INST
Electrical Contrac\o
Address ~~ ~ lQPJ'"'-QiL -
City ~_ Phone ')6f\. \\\cfS
supervi~or\{icense Number I..~~') f) S.
\(j.\.Q5
6q~~~
O. ~. C\..c:,-
Expiration Date
Constr Contr. Number
Expiration Date
Signatur~SU~~lectrician
Owners Nam~ ~ \. ~ Jr....,
- - --
Address~ (\)O~\1\..T
Cit~\,Ub~o~eY55\-a\\P
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----~~~~------------~--
RECEIPT #: ~,:) \\Jb~
RECEIVED BY: l llrITj) J " ..
ELECTRICAL PERMIT APPLICATION
~~
Items Cost Sum
1000 sq.ft. or less } $ 85.00 B5
Each additional 500
sq. ft or portion cJ) ~
thereof $ 15.00
Each Manuf'd Home or
Modularnwelling
Service or Feeder $ 40.00
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
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
$ 40.00
$ 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 or irrigation
Sign/Outline Lighting,
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3%, Administrative Fee
TOTAL ,,'
$ 40.00
$ 40.00
$ 20.00
, $3~
US~
~.~
-/oA.:~