HomeMy WebLinkAboutPermit Electrical 1995-3-24
The following proJect . aubmttied has the followtng
Ilolllng. and doee noI require apecll1c lend uae
.,proval, f1
ZZ5 FIFTH STREET Zonlntl /..,0 If-.-
SPRINGFIELD, OREGON 974?7 ___~I}f.J
INSPECTION REQUEST: I?f~
OFFICE: 726-3759 Author1%ed S1gnature'-"&hA
1. LOCATION OF INSTALLATION
4 40 LP k' G \ rn i ('~
LEGAL DE:;;~ION
I ~() '9 LJ,:) 2-.L-1 () 3M~ .
.B. Services or Feeders
r[ Installation, Alterations
CeC+(I(\~r Relocation:
ZOO amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to~1000 amps
Over 1000 amps/volts
Reconnect Only
JOB DESCRIPTION
? rl'nf'A/,i-"-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Z.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor "R\l ,'H-elk<:::
Address ?q?, !v1nnVn-f' S:f-.
Ci tY.h I'jRrI-P Phone 4 'i<S ~oq z. 2..
Supervisor License Number A170S
/o/r?-
. Lj~ 7'~
/1:;/9\-
Expiration Date
Constr Contr, Number
Expiration Date
"
Signat(?jJ;A~s~~ician
Owners Name M-f' \ UCA S t.'nU mG ('In-WI
Address 44 D (P !LCd WI \'r'!
Ci ty Sf'''" i (\3fifrrJ Phone.
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~~~LI:-i?~~------------------
RECEIPT 11: _ I~ 73q .
RECEIVED BY: i&:....
ELECTRICAL PERMIT APPLICATION
City Job Number q S n 2~ q
J.
.:.v..~~ FEE SCHEDULE BELOIl
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
It ems
Cost.
Sum
"
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
volts
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 3S.() ()
$
2.00
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 ~-1, 00
5% State Surcharge I, 't'1~
3% Administrative Fee I \ \
TOTAL ''19. q U