HomeMy WebLinkAboutPermit Electrical 1995-6-6
SPRINGFIELD
The following project as ,,>ubmrtted has the followIng
zonmg, and does not requIre Sp6:,~IC land u~e
approval
225 FIFTH STREET l-DE/
SPRINGFIELD, OREGON 97477 Zoning ,/
INSPECrrON REQUEST: 7fU~~~(,A"
OFFICE: 726-3759 .\ . ~."
AuthorIZed Signature I'J ''':::'
1. LOCATION OF INSTALLATION
?,) 1575 ~~~
--. .' - _. - L..-...
\ 1)6~ato~_\IO()\C'a')
-S-.-eL \XB3~
JOB DESCR}iPTION
.v~~
Permits are non-tra~sferable and exp1re
if work is not started w1thin 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT nLICATI~,
City Job Number ~~ 1('
SGWnTVTV FEE SCHEDULE BELOV
A.
New Residential-S1ngle or
Mult1-Fam1ly per dwell1ng
SerV1ce Included:
unlt.
Cost Sum
$ 85.00 as
$ 15.00 2l)
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Serv1ces or Feeders
Contractor-'1lli^1 fl!':r+R/C. Installat1on, Alterations
Electrical or Reloca tlon:
Address I:L SLLJ 2/}J.. :<, + 200 amps or less $ 50,00
- 201 amps to 400 amps $ 60.00
Ci ty lYI~s Phone t.HC,-J.139 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisor License Number / OOrD S Over 1000 amps/volts $300,00
Reconnect Only $ 40.00
Expiratlon Date ID-I-q::,-
Constr Contr. Number 1087'-1::;-
Expiration Date 9-;J~q~
,
.
Signature of SupervisIng Electrician
~/ c;fJ"~~.J/.LA/>. D.
Owners Name ,.AI~7/~ ,~--"..)~~_
Address .;:?f'77 -:;", 32 ~ ~
Ci ty -? ~ Phone 74/1 -~ .%c
OVNER INSTALLATION
The 1nsta11at1on 1S be1ng made on E.
property I own wh1ch 1S not 1ntended
for sale, lease or rent.
Owners SIgnature:
~~;~{J~;~~'5i:~t~;
\J l'~:"~ \,lo22---'
Items
1000 sq.ft. or less \
Each add1 t10nal 500 <)
sq, ft or portion ~
thereof
Each Manuf'd Home or
Modular Dwell1ng
Service or Feeder
C.
Temporary Serv1ces or Feeders
Installat1on, Alteration or Relocat1on
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch C1rcUl ts
$ 40.00
$ 55.00
$ 80.00
see nB"
above
New, Alterat10n or Extens10n Per Panel
One CHCU1 t
Bach Add1t1onal
CIrCUIt or Ylth SerVIce
or Feeder PermI t
M1scellaneous (Serv1ce/feeder
-Each 1nstallat1on
Pump or irr1gat1on
Slgn/Outl1ne L1ghting
L1m1ted Energy/Res
L1m1ted Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
'J;Q~!lL~
$ 35 00
$ 2.00
not 1ncluded)
$
$
$
$ 36,00
J~\ \5.00
,=>.~
.~.'t"::>
'\a.l\ . iu
40.00
40 00
20.00