HomeMy WebLinkAboutPermit Electrical 1994-3-9
e
,e,
SPRINGFIELD
Pacific land Use
ZOning_&L~ "'--'
225 .FIFTB STREET Date_ 3-~-qlJ
SPRINGFIELD; OREGON ?,7.'+7 ( ~
INSPECTION REQUEST: 72'g~~l@.l1natur.. ", iI^
OFFICE: 726-3759
ELECTRICAL PERMIT fPlZ :CATION I
Ci ty Job Number '-"'\. () \ 1~
3. COHPLETK FEE SCHEDULE BELOV
1. L<!Cf\TION OF INST~.~ 10)1
r~&',S- <5 /J '')P6L.-
LEGAL DESCRIPTION 1'7 Os 3S'O 0 oo~dJ
r;~AI/ -'.La,./' ,S;-j,~ ...n0:l"/.t AcjJ. h~
JNESCRIPTION C/.cwrr fbi1-ffi/51
( \ () \:~ 'i'I
;:r:its -~e: 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 B.
Electrical Contractor /(/7)1) G./e(,'J'-R Ie..
Address P, 0, 80 X / 0 ~ 7
CitySp F-/cI., Dor Phone 7 ::U" - 9 3C> 3
, --
Supervisor License Number :l (p 7/ S
Expiration Date' /0/1/9.5-
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWn~/#d/
DATt:4-~-77., --~-~q --~W-
RECEIPT I: \ /V II - '\\ i
RECEIVED\.BY(./ l"x..J) / \\
\......--/ -
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I terns Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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 1000 amps/volts
Reconnect Only
/
~'
. C. Temporary Services or.Feeders
Constr Contr. Number .:20-/7:2. ~ Installation, Alteration or Relocation
El5,Pita.tion Datp, ja/I/9;:,- j" / 200 amps or less $ 40.00
~du:- -t:foafA?(. 35",S/ .:J/:U)/ 9C, 201 amps to 400 amps _ $ 55.00
Signature S perv 'ng Electrician 'Over 401 to 600 amps $ 80.00
.A' ~~ Over 600 amps or 100U VOl ts see "B" above
~~l l D. Branch Circuits
;. Owners ~afuEl')q?.I\, /' .
::::essl&~~i~r:~n~Y;7~W0
OVNER 'tN~ALLATION
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci rcuit
Each Addi tional
Circuit or with Service
or Feeder Permit i
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 35,00
$ 2.00
l
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
0!JCO
dJl,:VO
1'.5';f.,tt>
.'