HomeMy WebLinkAboutPermit Electrical 1995-4-12
I
I
!
.
.
. as no roqulre spec! Ie land use
Approval. . ~
Zonino . V
225 FIFTH STREET 1,'''-
SPRINGFIELD OREGON 97477Dota '--I -IL oCt -)
, I
INSPECTION REQUEST: 726-.:HtIi<l1rlzod Signal . 1J M
OFFICE: 726-3759 ur.
1. LOCATION OF INSTALLATION
'l~1-. In.''(\~. Jt: .
\f)~~~~FTIOhaoa)
JOB DESCRIPTION .
I,~c\_n, c"V'''' ,~. .-r-A-.l\LII~
o 'f) I
Permits are non-transrerable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~ P~nOTrtl~~,
Address p.O, ~nf> 14>& 1->
Ci t~ Phone.P:l:J - :t..~L1fo
Supervisor Llcense Number \ log bS
Expiration Date
10 - I-OJ 5
Constr Contr. Number ()?'~4.q
I
Expiration Date
'\-l-QS
Signature of Supervising Electrician
~r-/'/Lr; /!~
.An D.
Owners Name C\ 0 ~!.\ I"' U 111\ mn ~1n:lliIit
Address P, o. ~J'..J. b'1/ n
I
CityP~.rHX\~ l Phonenq - f)'1J..i
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----------~2t~-l~:zrr~--------
RECEIPT 11: ,l./. . . lfo'-f..'j[
RECEIVED BY: ~ IF) _ ) [,62
ELECTRICAL PERMIT APPLICATION
C\ 1QC4~
Ci ty Job Number
3. COMPLETE FEE SCHEDULE BELOIl
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
~
Sum
Items Cost
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
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 lOOO 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 ItB" above
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 3.'1.00
$ 2.00
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
5% State Surcharge
3% Administrative Fee
TOTAL
;3 5', 00
1,'1~
[.Q5
&1, ft.(')