HomeMy WebLinkAboutPermit Electrical 1994-3-4
L.
..
The. followi~g projoct BS submlttod hoo the following
zoning. ana does not require specific land use
225 FIFTH STREET approval, ELECTRICAL PERMIT APPLICATI;t
SPRINGFIELD, OREGON 97477 ~. 0 q .AT\f) n
INSPECTION REQUEST: 726_376lJlOa M a... City Job Number \\ Ii':/....
OFFICE: . 726-3759 Deto_.3jLj Lt)~
~ 3. COMPLETE FEE SCHEDULE BELOV
1 i 01f1A~I~N 0 ~~~T~~\~\)~n~(t" 'A.'
unit.
1f)0~t:f~IO~~
\.1y~1t~y;rION n')(f4PJef
permits~e non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
Nev Residential-Single or
Multi-Family per dwelling
Service Included:
Sum
$ 85.00 jJj)
$ 15.00J()
Cost
Items
d-
~,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor I-{,<-J':'-"<" /H,:"
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
S, U;'f vi..
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
...... ,.-' ")
Address _"'::,.->
Phone ....;,,; 'I '. II (,,],-'
Ci ty ..s::: P fD
Supervisor License Number ::")$ 'r/ S
Expiration Date //-9S-
Cons t r Con tr. Number ' 8 '/ Lf z. ?,
Expiration Date 3 -<., -"1 '--f
q ,
Ci ty _7 J _ f\D Phone~ ~ ~4Q 'c1~
mINER INS ALLATION
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see liB"
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
above
D.' Branch Circuits
..
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service,
or Feeder Permit
$ 2.00
not included)
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Owners Signature: Limited Energy/Res
. Ii A- Limi ted Energy/Comm
---------p~.2;.- - ~.,...]. T-~---~.4~:\-~....l1 SUBTOTAL OF ABOVE
DATE:. ~'. '-/1 r:~. \ j '-.5% State Surcharge
RECEIPT t:-I ..L7/. ~ _ :r::~~~ \. TOTAL
RECEIVED BY: \. l~ .... \
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
$
$
$
$ 36,00
'f1i.W
. i j (l.l{L
lJ.UT
40.00
40.00
20.00