HomeMy WebLinkAboutPermit Electrical 1994-5-16
The following project as submitted has the following ~l
zoning, and does not require specific land use 'uDuIT AP~ PLI ;{fIO')
225 FIFTH STREET approval. ELECTRICAL PJ:dU'l C
SPRINGFIELD, OREGON 97477 " (.., Q4b ~
6 7 ?cmina L- .
INSPE(;TION REQUEST: 72 -3 69 ' C~ ty Job Number
OFFICE: 726-3759 Dtlte__._S-=-L~..i4
~ k3 COMPLETE FEE SCHEDULE BELOV
Authorized SIgnature . ',\. .
1. LOCATION OF INSTALLATION
~61 Wt a::N~.NLA.L~VDI' A.
11O~?4~o~2CY)
Jon DES AUPTION
'~,lr-~ ~M, ~bl?,.J
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or"if work is suspended for
180 days. '
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
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
. , Installation, Alterations or
Electrical Contractor laJl&Nf:-Sf~~Nj~'Relocation: . ' ,
Address l?-to t7A~ F~at · t<..D 200 amps or less
201 amps to 400 amps
Ci ty.:...~ )~e- Phone ~-c?'54-~ 401 amps to '600 amps'
, - T- r./ 601 amps to 1000 amps
Supervisor License Number -5Jr;g (a Over 1000 amps/volts
- . Reconnect Only
C. Temporary Services or Feeders
Constr Contr. Number .~ 57~~~ t()/1~~nstallation, Alteration or Relocation
.. , 'P1 57 q /).r ;1/ I /tfi' e::; 200 1
EXpIratIon Date . VI amps or- ess '
201 amps to 400 amp~
Over 40~ to 600 amps
Over 600 amps or 1000 volts
Expiration Date 'ID~ J - q (...,
Signature of Supervising Electrician
\~~~/
Owners Na~e tfrl~(\~ Q \1\ \'-k~)
Address ~dG\ ~ D . 00 ffiM~
~
City Phone
OYNER ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~---~-r~~~--~------~;-----
RECEIPT 1t: 1--lLA~ v'\ 1&1 () 1
RECEIVED DYC71~
..:$ 50.00
$ 60.00
$100.00
. $130. 00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "n"
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 ~ot included) .
, ~Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting , $ 40.00 4b"'"
Limited Energy/Rei $ 20.00
Limited Energy/Comm $ 36.00 .
.AO e=
, 5. SUBTOTAL OF ABOVE ~
5% State Surcharge ~pn _
TOTAL ' 4'2--~.
+';'W