HomeMy WebLinkAboutPermit Electrical 1994-11-28
-.,
.
zoning, and do.a not require specUic land use
approval,
225 FIFTlI STREET Zoning /...-D () _
SPRINGFIELD, OREGON~" 77 \ I - U -GLf.
INSPECTION REQUEST: ILO-J/O~ '
OFFICE: 726-3759 Auihorlzed Signature U M
1. LOCATION OF INSTALLATION
'1'llf '2.. -:T~ ss;C s4- '
~.~PTI06\400
l ~i{~l~
Permits are ~-transferable and expire
if vork is not started vithin 180 days
of issuance or if,vork is suspenaed for
180 days.
2..' CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~ ~~~
J
Address H (j , r;~ r- 2G \.(
Ci ty ~ls!t"-":Ic... Phone 7,{'( -u'l Or-
Supervisor License Number 3G~&-)
Expiration Date j o/2v ('/\
I "
Constr Contr. Number 2.0 _2-q~c
Expiration Date (Ci 2.-'{ fr:t r-
, -, 1
SignaJ~re of Supervising Electrician
A{J'-- C",_ ,lrUA' ...
....
Ovners Name 'IAf (\( ~\W~.v:::l
AddresstlD ~ \\00 ,n ~~~_
City~, Phone 141,b1hS
OVNER'r~LLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
~~~~~-----.----------~r'iF;:~-~---:--
RECEIPT tl: : ~ ) .'
RECEIVED BY: ~\l~ \
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q4-\ 41q
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
Sum
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 .~
-J.
B.
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
$ 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 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00.
$ 55.00' 0'
$ 80.00
see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service 00
or Feeder Permi t 2.- $ 2.00 4.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$
$
$
$
ffi~
4-llV
d..~~
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL