HomeMy WebLinkAboutPermit Electrical 1995-4-17 , aPelO ,. L-D~ 1...0[l\n')_-~ 97477 0' ~9-tJ- 726-3"469.orILa:l "'9"~'U 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~ ~ .LJ. 7 c!.-A#J.-Rb R~.I! :Di2, LEGAL DESCRIFTION I ~ D 1- 0(0 ad ()C).,100 JO'Y- DESCRIPTION ~ .'2.. ___ A/7M& 5" PK" IltJt('r/ J;J Permits are non-tra~sferable 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 At/h) rlrrlelc- Address ) J ~10 _=<.~(.--I- City IV1~A<- Phone 415~..21.".C) Supervisor License Number I no(o ~ ExpiratIon Date In-/-~~ Constr Contr. Number (o'R7Lf~ ExpHatlon Date CJ-l/-9,\ Signature of Supervising Electrician ?f"//C4{lf -~~~~ , Owners Name _~~J tl _ 'BrIt. ~ Jl'll' ~ . . Address ~lil~ 00. 1JVlJ. 0t- Ci ty ~rL Phone ~~IJC1lit- O~~STALLATION The Installation IS beIng made on property I own WhICh IS not Intended for sale, lease or rent Owners Signature: -------------------~------~----- DATE: ~ ~'IJ~I~ RECEIPT 11: \ \014 /, RECEIVED BY:l~ lU~('----) . ELE~l~CAL PERMIT APPLICATION CIty Job Number ~~~ ~~~ 3. COMPLETE FEE SCHEDULE BELOIl A. New Residential-SIngle or MultI-FamIly per dwellIng unl t. SerVIce Included: Items Cost Sum 1000 sq ft or less $ 85.00 JffD Each addItIonal 500 sq ft or portlon !J.. ?jJ 14 thereof $ 15 00 Each Manuf'd Home or Modular DwellIng Service or Feeder $ 40.00 B. SerVIces or Feeders InstallatIon, Alterations or RelocatIon: 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 SerVIces or Feeders Installatlon, Alteration or RelocatIon 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Clrcults $ 40.00 $ 55.00 $ 80.00 see liB" above New, AlteratIon or ExtenSIon Per Panel One ClrCUl t Each Addl tlonal CIrCUIt or WIth SerVIce or Feeder Permlt E. MIscellaneous (ServIce/feeder -Each InstallatIon Pump or lrrlgatlon Slgn/Outllne LIghtIng Llmlted Energy/Res Llmlted Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge ~ ~f1J() 12Jhrl- $ 35 00 $ 2.00 not lncluded) $ 40.00 $ 40 00 $ 20,00 $ 36.00 ,../1tJ J '1, /'_ 1? -,'7...... /},IJL, ~tj ~~ r.