HomeMy WebLinkAboutPermit Electrical 1995-2-28
~
.) !
l"h.J to\l\),,"U '::.' t' at req,J\f0 ~p~ ""
Z0n\ng, and dot:... !i
?pproJa\
Zomn9- _ _w --
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE. 726-3759
ELECTRICAL PERMIT APPLICATION
97477 ~~. ___
726-3769 _C1 ty-Job Number
~ n ~Ufe - - -
Av\l)onZea ;;J\g <:.l -~
3 COMPLETE FEE SCHEDULE BELOY
q~\ff}
1. LOCATION OF INSTALLATION
<: hiLL '1T r'/.r7~/;:> ,.,.R'~ /)./:)
l~n~\ION roJA.cD
JOB DESCRIPTION
~ ;<;......A )
\.\ oQ~t3"
PermIts are 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
ElectrIcal Contractor--.!t)JfiAJ 12.-1l!/hJe..
Address J.:L- 5 IV ~"E:E. s-r.
CIty /YJ.IR>?~ Phone J-I?,-~)";iR
----. ) -
SuperVIsor LIcense Number j.t2nt,. \.<;
ExpnatIon Date / 0- ^- / - 7J....
Constr Contr Number~7 <-/... ~---
.-
EXpIratIon Date 9-7 - ry
SI~ature of SuperVIsIng ElectrICIan
t?'ft~\.:~ ---~. ~---
Owners N~eYX}J.~r\ n_"" ~f\L
Addless Rq=1 ~ S2.J\d ~
CI ty ~~ . Phone -M.lcRldo
OVNER IN\tA~LATION
The InstallatIon IS be1ng made on
property I own Wh1Ch 1S not 1ntended
for sale, lease or rent
Owners Slgnature:
~~~:;:-:~----;?=~~~~---------
RECEIVED BY: /..,G....L;7- _
',p- -
A. New Res1dent1al-S1ngle or
Mult1-Fam1ly per dwell1ng un1t
Serv1ce Included
Items Cost
1000 sq.ft or less \
Each add1t1onal 500
sq ft or port1on ~
thereof (')(
Each Manuf'd Home or
Modular Dwell1ng
Serv1ce or Feeder
B.
SerV1ces or Feeders
Installat1on, Alteratlons
or Relocat1on
Sum
$ 85 00 PO
$ 15 00 Jt2
$ 40.00
200 amps or less $ 50 00
201 amps to 400 amps $ 60 00
401 amps to 600 amps $100 00
601 amps to 1000 amps $130 00
Over 1000 amps/volts $300.00
Reconnect Only $ 40 00
C.
Temporary Serv1ces or Feeders
Installat1on, Alterat10n or Relocat1on
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch C1rcu1ts
$ 40 00
$ 55 00
$ 80 00
see "BI' above
New, AlteratIon or ExtenSIon Per Panel
One CIrCUI t
Each Add1t1onal
C1rcu1t or W1th ServIce
or Feeder Perm1t
$ 35 00
$ 2 00
MIscellaneous (Serv1ce/feeder
-Each 1nstallat1on
Pump or 1rr1gat1on
Slgn/Outllne L1ght1ng
L1m1ted Energy/Res
L1m1ted Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Adm1n1strat1ve Fee
TOTAL
not 1ncluded)
$
$
$
$ 36 00
~~~-
-,rif-4. ,61.0
40 00
40 00
20 00