HomeMy WebLinkAboutPermit Electrical 1994-6-2
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SPRINGFIELD
225 FIFTH STREET The following prolot~.s submllted.hao tho folllli'i!arRICAL PERMIT qPLICATION
SPRING~IELD. OREGON 91471oning. and does not roqutreopcx:ific land uoa 1..11 7\1 _/J =z.
INSPECTION REQUEST: 726!'.fIg'ijl. . Ci ty Job Number "1G{Y "- )
OFFICB: 726-3159' Zoning I.-I')..e.
3. COHPLETE FEE SCHEDULE BELOV
",.,.,. Nev Residerytial-Single or
Hulti-Family per dvelling unit.
Service. Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular Dvelling A ID
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
1.
ft9H\1;I{lN,IIF I,NST~~,.,-2-~'f
, Al ) \(6 J I. k ~edSionaturo
\C)~~\~PTIO~ ta&O I
~".z.OB DES~ION ~
\ 'n\IlI\lL.f.., ~O ~
. -Permits are~on-transferable and expire
if york is not started vithin 180 days
of issuance or if work is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor
ROSE CORP
Address
R9976 DAY LANE
City
Phone hRh-nqn~
''''IDJr
Supervisor Licen~e Number -15liR~
Expiration Date
Constr Contr. Number
1011/95
..
"
5443 i ~'"
Expfration Date
qnn/q~
Signatu~SuperViSing Electrician
.' (/-yy~
Owners Nam~ p Ii r) f\ 'nAo" ~ D.
Address O\.~ ~) ., 1\) ~~_
Ci ty Cf 1 T@\O- Phone ~ b ~"~
OVNER I~TALLATION
The. installation is being made on
property I ovn vhich is not intended
fo~ sale, lease or rent.
Ovners Signature:
--7--7\-- - ------------
DATE: rn .~.(..(~ ..., \~
RECEIPT f::' ~ U\, ~, \
RECEIVED BY: O\V . ~
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
volts see "B"
above
Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with servicet
or Feeder Permit
$ 35.00
$ 2.00 ,!1
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
PA.CD
- ""-- I() ""~~/,o
~(O.l{) :;.. Bf3.S/o.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL