HomeMy WebLinkAboutPermit Electrical 1995-7-12
The followina proj~ct a b'
zoning, and does not r:' SU, :nitl~d ~a~ ths ioi/owing
approval. ~qulre Spncrllc land usa
Zonina \- 'Dt:.- ELECTRICAL PERMIT APPLICATION
D2o;:;)-- rl~ 0,) Ci ty Job Number ?~12.
f'\lHfl-:.>rized Si~)ila}.jr':l. ~LETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. LOCATION OF INSTALLATION
;2.12 ceNTeNNHk'L
LEGAL DESCRIPTION
I?O~ ;2.1'p #- //2<:50
JOB DESCRIPTION
~ /~NV~/-Q'_'
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date /o--9~
Constr Contr. Number 7;rO~S--
Expiration Date le-- 9:5
Signatur~ of Supervis:ng Electrician
?j/.~;gk '(
. Owners Name F -PA' .{J/tL.f!-- ,c;at1.~,
Address fLI Z C8J-0t~tv'o-lf ,sid
Ci ty ?f(d Phone 717-/ b9J
O\lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
----------------------~--.--------------
DATE: '-1 - f 2---! q
RECEIPT #: ' {o '1---4 (p'
RECEIVED BY: iJ~
v
A.
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
Ser~ice or Feeder $ 40.00
tf'EIV~ ~t::;~~L- ~~/T ~ '
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders IL ~ S"'.o
L f /21 ~ I ,r Installation, Alterations ~L I -- :;2K::9.
Electrical contractofj;U/fC~WbUJ<. rf.J(rnW~r; Relocation:
Address ~ lb. s:, 5-:2ncf ~7 ,200 amps or less
_ , ; _ ~fi ' 201 amps to 400 amps
City)~ Phone 7'17 1.-pgy 401 amps to 600 amps
/'/ 7 <f '7 (, 17q 601 amps to 1000 amps
Supervisor License Number '37:5 5- .s- Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circui t or wi th Servic:~._ " ~
or Feeder Permi y//C- $ 2.00 C:C.6D "')
/ /
Mis ce llan e 0 us (S-erV-i-Ge Lfeed,e.r-R0-t:-i-n-c-luaea)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
$
$
$
Z% .r)O
1 . 4 !J
'. '2-0
2-/),11
40.00
40.00
20.00
36.00