Loading...
HomeMy WebLinkAboutPermit Electrical 1995-4-17 \ \ SPRIN_L~ '-. " . ' The followlrg project as $lIomM.€Id r:as the 1ollowm zonrng and d06:J; not requIre speclf.c land use approvc;11 225 FIITH STREET L-DL SPRINGFIELD, OREGON 97477 Zontr,a INSPECTION REQUEST: 72lP<6~hq+'1 -c;)' OFFICE: 726-3759 II Autnorlzed Slgnature~ J. ELECTRICAL PERMIT APPLICATION CHy Job Number 9~et:>4"V '5 ::31;r~7R :'EE SCHEDULE BELOII 1- LOCATION OF INSTALLATION ~ 3'5.t. ~ /" ~....u-'A;g; ~ A. New Residential-SIngle or MultI-FamIly per dwellIng unI t. LEG~ DESCRIe~N ServIce Included: I _ tJ '//!J IJ f ()XJOO Items Cost Sum J~ESCRIPTION \ lA:J, e( 1000 sq. ft. or less 1 $ 85 00 jG: ~ C:::;-fi!=-? Each addItIonal 500 sq. ft or portion ')/ ?;(), /' Permits are non-traftsferable and expire thereof $ 15.00 if work IS not started wIthin 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular DwellIng 180 days. Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. ServIces or Feeders Electrical Contractor~~1 r: 19(1'i-/? I C InstallatIon, AlteratIons or Reloca 110n' Address Jd- Su..,'l.,v.d ,~+ Ci ty ;Y\~f<"r\~ Phone 47,'1-:11?-8 Supervisor License Number / n%C, ExpiratIon Date IO-I--'1.s Constr Contr. Number /r;?7LJ5 Expiration Date 9-4-15: , - Si~Jure of Supervising~lectrician / /~--1. C1? s./t;-AA/nAl~ -" v ,. - D Owners Name~, tMt~fn:% ~.' Address ~qQ hb ~ #r. Ci ty ~tfJ Phone ,till-- lAf..ti! ~~ ~~TALLATION The InstallatIon IS beIng made on property I own WhICh IS not Intended for sale, lease or rent. Owners Signature: ---------------------7r-\~- -- - ------- DATE: <-t' \1 LD_ RECEIPr if: '-f~ I~ RECEIVED BY: l~U I 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 InstallatIon, Alteratron or RelocatIon 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40,00 $ 55.00 $ 80.00 see "B" above Branch CIrcUl ts New, AlteratIon or ExtenSIon Per Panel One C.1 n..Ul t Each AddItIonal CIrCUIt or with SerVIce or Feeder PermIt $ 35 OC $ 2.00 E. MIscellaneous (ServIce/feeder -Each InstallatIon Pump or IrrIgatIon SIgn/OutlIne LIghtIng LImIted Energy/Res LImIted Energy/Comm not Included) 5. SUBTOTAL OF ABOVE 5% State Surcharge :re'rnL ~ ~ $ 40.00 $ 40 00 $ 20.00 $ 36.00 ..if 0, t1? ./ ~';jf 1~4. ;AO ~