HomeMy WebLinkAboutPermit Electrical 1995-7-21
SPRINGFIELD
oning, and does not ~equire ~pecific land u'
approval. ..~_
Zoning /1-.':";:
Dde'7-21-C,< '
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-37<i.~ihorized Signature'
1. LOCATION OF INSTALLATION
3q 5D K" Iff H R y.,J sr-
'LEGAL DES~PTION
fSR'/JH\ IAl:>lotd ) 7t:J7 5~
JOB DESCRI,PTION.o '0 ')./0/
~""~,IV\- \ ,tyll_l:lI,'
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork'is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (\w 'uJ1 6)~f'<u..
Address l.j.;)Q!)W V ~
Ci ty ~lXiQh..l. Phone CoS'~,Q.3l.:()
I
'Supervisor License
Number ~.;l. ~ S
/0 fK'
Constr Contr. Number .;20- J'/S'L
/D) <fG"
I ..
uperv'sing Electrician
Expiration Date
Expiration Date
S12{
)
OVNER INSTALLATION
Name /?lit(. /1{!5.1 s m
Address J4B4 ('~ S'/.
Ci ty,\~t? Phone 7~ -~f\ /~
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-----------------/C--------------------
DATE: 2/7-/ /, r
REn:}!"l: ~: / '1/4~'7
HECI'.IVUJ BY: --4:f.~/V\-.
,Jrv-
ELECTRICAL PERMIT APPLICATION
9'-ItJ7JI
City Job Number
3. COMPLETE FEE SCHEDULE I\ELOIl
A, Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
1500 sq.ft, or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder $ 35.00
B.
Services or Feeders (10 Branch Circuits
included), Installation, Alterations
or Relocation:
100 amps or less $ 35.00
101 amps to 400 amps $ 60,00
401 amps to 600 amps $ 80.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300,00
Reconnect Only $ 35.00
c.
Temporary Services or Feeders
Installation, Alteration or Reloca5ion
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35,00
$ 40.00
$ 80.00
see "BtI
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit I $ 35.00 ..$500
Tvo to ten Circuits $ 50.00
Each Addt'l ten or
portion thereof $ 15.00
'.
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy ~anel S 36.00
SUBTOTAL OF ABOVE '~
5::: State Surcharge/?r~/f)J' ~:oO
TOTAL ~
J'I60
S 36.00
S 36.00
5.
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