HomeMy WebLinkAboutPermit Electrical 1995-6-15
J~~j~~:~~i~~~~~j~~t ~:;~~:srttpeced ;~fatMd following
approval n use
225 FIFTH STREET' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L,mr n ~~f\ \c..
INSPECTION REQUEST: 72(j0i~!1d:: I f" -<=) Ci ty Job Number '\ ~ } \ \...,)
OFFICE: 726-3759 --, ~
Authorized SIgnalur. Ai /.1 3.
1. LOCATION OF INSTALLATION
Iq51 l\JeYI.JJt,. A.
\'\~~A~~TI~\\cO)
JOB DESCRIPTION .
J.l,.)ifu J V\Q1.L) (\01fY\1'ffiO.fU\ I n Q \ j ~rLv .
(l
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor -C..f_S POo~tri.;~: ~.
Address p. D. fJ~. lfg~
Cit~ Phone 14/ -1.''':3&2...
Supervisor License Number I f9 2hS
Expiration Date IO-I-qS
Constr Contr. Number IOg8'-f1l
Expiration Date q-I-QS
Addre~s_il $5
m 1lJl..~ It
Phone h 'Z1-'l)O~3
City~O J
OVNER INSTALLATION
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular. 'Dvelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Reloca t ion:
Items
uni t.
Cost
Sum
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00 5D.OO
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "BI' above
Nev, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit --L8- $ 2.00 ~D
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~A~~~~--------~~--\-n~\~~~---------
RECEIPT 11: \.~:1J.' _ }t\1 7 ~
RECEIVED BY: \1\\~{~" '-
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
8b.00
4-.3.0
~.5~
_q .2R