HomeMy WebLinkAboutPermit Electrical 1994-3-17
03/09,92
zoning, and does not requIre" speCI1 c an
approval.
225 FIFTH STREET Zonina Cl. ~
SPRINGFIELD, OREGON 974 7} 3. - \ I') - ql..\ .
INSPECTION REQUEST: 72~:f1u /\
OFFIcE: 726-3759 Authorized Signature I I, M
3. COKPLETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLATION
_I P, ~c;,., ~1J.1 4-
11~~~PTI~~ ::>-'00
JOB DESCRIPTION
j,IJRtr. AI~"-./ E'IJ./lMr -'Att/
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
City Job Number
A. .Nev Residential-Single or
Multi-Family per dwelling unit.
Service Includedl
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
.J I Installation, Alterations or
Electrical Contractor L. U. J11ulZel? IfIt!Cr Relocation:
Address 4~s SHI!U.tj <;r.e.,
City S P/~O, Phone '74--7-081/
Supervisor License NUlllber. ,~~S
Expiration Date \{)I, /e:rc.r
Constr Contr. Number QI ~~ 9
Expiration Date~ io 1f5'(erd
Signature of Supervising Electrician
O::~~~~aJJ~ .
Address I '8'"...:)(;, :5 A :3 '
;jpf-C( phone 7c(~ 7l(rl
City
01lNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~;---- ~ - (7 :qZr"'-:----
RECEIPT 11: - it t<'I,' I
RECEIVED BY: ri ~ ^ ~ G
200 amps or less
201 amps to 400 amps
401 amps to 600 amps .
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Orily
$ 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 UBII above
D. Branch Circuits
.Nev, Alteration or Extension Per Panel
-L-
One Ci,rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
E. Miscellaneous (Service/feeder
-Each. installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
StlBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 3'5
$ 2.00
not included)
. $ 40.00
$ 40.00
$ 20;00
$ 36.00
3$"L
I "'1"
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