HomeMy WebLinkAboutPermit Electrical 1993-11-19
.
SPRING_LO
The. following project .9 submitted hes the followl
zOning, and does not require specific land use
approval.
225 PIFTH STREET , ,1/1" If".. 0 ELECTRICAL PERMIT APPLICATION
SPRINGPIELD, OREGON 97477 ZOnlna V"/ U1S=- n \r\ d
" INSPECTION REQUEST: 72fb-J,769 "J~<>'ld-cl.6-q~ City Job Number V\~, ,!()t-,
OPPICE: '726-3759 -'
. Authorized Signature <;c::. 3. COMPLETE PEE SCHEDULE BELOIl
1:\ LOCATION OP I~STAkLATION~...D r-.. -
'O\n~"t\O,\('),~\'\rn~'I. .. ~ A. Nev Residential-Single or
" Hulti-Family per dvelling unit.
.\' LEGAL DESCRIPTION" ' Service Included:
i\\)t~~~~ N..o3C1 ) Items Cost
~\ ..~.OB ~SCRIPTION 1-3;)4:~('~~,)1~r1 ~~~~ ~~d~~io~~/;~~ ,/l $ 85.00
~~ sq. ft or portion ~
Permits are non-transferable and expire thereof r.k $ 15.00
if vork is not started vi thin 180 days Each Hanuf'd 1I0me or
of issuance or if vork is suspended for Modular Dwelling
180 days. Service or Feeder $ qO.OO
'2.. CONTRACTOR INSTALLATION ONLY
Electrical ContractorJY)tJ~(' ~~~'i
Address 3s 3. ~ (.,$ fl..
City St7
Phone 7'4 -{ -( ('" r-
Supervisor License Number 3'-'15
Expiration Date
/04'(
Constr Contr. Number 'fS9'-( 2:r.
Expira tion Date
< - ,-<; 1
Signature of Su~~vising Electrician
Gf( rf(/'~#i -
.. Ovners Name ~\'\'{LS'\, ~Q ~ 1 ..L-)
Address \\'\~ Iv~~~,(l"~
Ci ty s.~i' 1NJ ~ Phone 3'\~-~\rA!:L,
01lNER iNSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
OWners Signature:
"
:~~~- V: : U)---4~--1-tRY~i;~ -~---
RECEIVED BY: / 1/(/1 )
." - - - .
8'. 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
Sum
\.1DFV
.3,0
'.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to qOO amps
Over qOl to 600 amps
Over 600 amps or 1000
D.' Branch Circuits
volts
$ qO.OO
$ 55.00
$ 80.00
see "B"
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE JfYJ.OO
5% State Surcharge , ( 5 DO
TOTAL dU../! Dei.