Loading...
HomeMy WebLinkAboutPermit Electrical 1995-5-30 \Jl:J~ , . The fOllowin . Zoning, and ~proJect as submitterl approval. oes not require spe~ithf.lS, the fOllowing Ie end Use ZonIn9_L 012- o ~ '"l ,r- 97477 ate",?-o<c q, 726-3\~619rized Signature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION / I r.> q 0 r 5X:> I I U t--J c..UOc.t:> \_Y~E~IOh$ro . :\ - JOB DESCRIPTION ~rhklo ur-C-o...\.t- \2~v ~C>la)I+0(;>_ 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 Kl.b~~ ~f\.S Address ~Z2.-3 c.Qt"'\a(&..{t. Q.J"'\ Ci ty~~ Phone.!e..~e 1780:;- Supervisor License Number ~R~~ Expiration Date 10/ /qS- Cons tr Contr. Number 103l.{ 17 Expiration Date 12;5-/.,S , Signature of Supervising Ele ~/l ~ Owners Name ~ ~+-L- Address !(nab ~TrC>Y1..\io..)~d Ci ty ~\,rFtJ Phone OVNER INSTALLATION ian The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~-:~-'----~l ~~31) r::r5 -~------- RECEIVED Bt3t~) \ 1:0 1 , fJY'1. - 3. ELECTRICAL PERMIT APPLICATION City Job Number q~\q , - COM~LETE FEE SCHEDULE BELOV 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 Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT 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 $ 35.00 <;.r.J.,~tj) 1 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ $ $ $ ~~S CD - .~ .~ 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL -