HomeMy WebLinkAboutPermit Electrical 1995-6-27
The following project es submitted has the following
zoning, and dOGS not require specific land use
approval.
Zonlnp IY\ De..
225 FIFTH STREET ~
SPRINGFIELD, OREGON 9~477&~J_1-'h
INSPECTION REQUEST: A.h~8rfz~~ra ~ rv\
OFFICE: 726-3759
1. LOCATION SW INSTALLATION ./
~/O ~/dU".r.,P.c~....~'/ .Do/::::::'
\~~
",.dOB DESCRIPTION /
,A/' ",/s/ L""__....., /'2-, po.? ....,.--....~-,/
(
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days,
City Job Number
ELECTRICAL PERMIT APPLICATION
q S\'f{'6
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cost
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15,00
$ 40,00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~~ / Installation, Alterations
Electrical Cont~acto~/~~.7 or Relocation:
Address/~"~ ~~ ~__ ~?~' 200 amps or less
:--- ;:: ~. ~ amps to 400 amps
City~_~~./; Phone 5.y"~-57-Z;;r 401 amps to 600 amps
I 601 amps to' 1000 amps
Supervisor License Number 7'1-;/ /L r' Over 1000 amps/volts
O Reconnect Only
Expiration Date //? ~~
C. Temporary Services or Feeders
Constr Contr. Number q/) f fiUD Installation, Alteration .or Relocation
-
Expiration Date rft ,/
S' f S '" ~El "
Ignature 0 upervlslng ectrlclan
r--
~~ ---- -.
Ovners Name /7'_A"? ~ ~~. /
:::;'" 1901<: t~Q,~n ~ OJ;> . ~
~~~AL~TION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
~~T~~----------l-o~~ryr{<:)------------
RECEIPT 1I:~~ ., \'+lAI
RECEIVED BY: ) ,
U
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
S 50,00
$ 60,00
$100.00
$130,00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Nev, Alteration or Extension Per Panel
$
$
$
_______$
?:.\.O ,CO
\ 6@
At'? ,....r /
C/U, 60
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
40,00
40,00
20,00
36,00
;-<,\,.,00