Loading...
HomeMy WebLinkAboutPermit Electrical 1995-5-10 v The followfng project as suo m e -~ . . -'. " , zoning, end does not require specIfic ltilnal.l$s approval. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: ,OFFICE: 726-3759 /..., P /2,...-. Zonin9 / . Date& /D- ~) 9A{,t~~rized Signature 726-3769 1. LOCATION OF INSTALLATION s7<3 2. C~/4 LEGAL DESCRIPTION ~ /.7~2- .'?"5 ~ 7" ZJIWJJ JOB DESCRIPTION c::;~C ~ ?>> t!& 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 :Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name ~C.c ~ J~L!~ L Address ~7*72 ~e--a/A . # ' Phone ~~ - 2?:f I City ~ ".PA 'j'''r - OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --D'jJ ~ ' 1~~ k.R_ -_ _ <......... ------t7Z--------- -~-------- DATE: 5 \'(). ~ RECEIPT #: dii f". tl leU RECEIVED BY: )w ~ - '-' ~ tJyv ELECTRICAL PERMIT APPLICATION City Job Number 95"02-9 '5' 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: It ems Cos t Sum $ 85.00 $ 15.00 $ 40.00 200 amps or less ~ $ 50.00 SO~ 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to/100Q amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 200 amp~.oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel ,. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit 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 j 2,(0 ,. no t included) $ $ $ $ C92~ ,7dtV -~~~ .. /;,/~.r(p 40.00 40.00 20.00 36.00