HomeMy WebLinkAboutPermit Electrical 1995-7-21
The, following project as submitted h'!
zoning, and does not req" <, " . as the following
approval. Ulr9 "paCIIIC land Lisa
Zoning_ L D f2-
9749'}9 7 -2-/ r-q;-
7~'3)7i6&i Si~Jni.-ltur6 N f\I\
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
l'-1n(aON ~~tt~~L
LEGAL DESCRIPTION
_\\DL"25~~ t/5DD'L
~ <1;B~~~PTION \,1.q
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 WAfJG.f( /HAtMJU.~r Ef~c.T.
,
Address 35's S c"A.
Ci ty 5Pfi) ,Phone 7c.(c.(~" r,r
Supervisor License Number '5 S77 - S
Expiration Date /0 _4:fS
Constr Con tr. Number f.,"f L.3
Expiration Date
?,- S..CJ (0
Signature of Supervising Electrician
7?d,~ '
Owners Name RC\\\ ~~~
Address 2.ft) ~~
Ci t~\"1.h ~ Phone <(ffi ~3 ~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
----------------r----------------------
DATE: () 4- . qs .,
RECEIPT #: '\:J ~ "'\ \~ ) \
RECEIVED BY: (~~L)( ~_}. -'
ELECTRICAL PERMIT APPLICATION
Q~lo~s
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t .
Service Included:
Items Cost Sum
1000 sq. ft. or less \ $ 85.00 ~5
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 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 $ 40. 00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 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
$
$
$
s
\\~~
.~~
T!.\, ~ -~~
~-q .1"-0
40.00
40.00
20.00
36.00