HomeMy WebLinkAboutPermit Electrical 1994-10-24
v
-.
.-
Tho fol:owtng project es su me, '
zoning, and does not roquire SpocttlC land use
approval.
225 FIFfH STREET
SPRINGFIELD, OREGON 97477 Zoning,
INSPECTION REQUEST: 7~769 I ()- LL( -61 '1 Ci ty Job Number q~~~ e;;'
OFFICE: 726-3759 .o1'").J
Authorized Signstu,. J. 'wnrLKfE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLATION
,~b"3' r='--'f'S-_40-~~.
L-DL
LEGAL DESCRIPTION
H:Z ~? ...C!:> <..~ "'2... ~ b"3 c.,re:re:>
r
JOB ~CRIPTIO~ ""7'S
/ ____~. ,..._.J-..t "'~! .~_ ~~
. . , c., ';'1' ~
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~Lj tiLc_.,
Address .lV70 tA, fJ..J/~.~ _
Phone If~V- 907 (f
License Number II sri JV:
Expiration Date Ibl,I"?/"
l~ ?JIl(J
Ci ty &IA.I.<."-,,
"
Supervisor
Constr Contr. Number
Expiration Date
Signa~Ur oj SUP}fYisP{g ,!!ec t~ician
/I~/&- V if~A'.
C/o / ~,
Owners" Name ~A:.. ~~...,.. r;"'~
Address
City Phone
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
//7 -? Y "'7 c::r
~~~
p~-,---~
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd'Home or
'Modular Dwelling -
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u voLts
$ 40-.,00
$ 55.Ce.
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
Each Additional
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 $ 40.00
~Limited Energy/Res ...... $ 20.00 ~.-
~Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
....::;;:;:'d>.-
/.C-~
, . e: c>
-z/.~a.