HomeMy WebLinkAboutPermit Electrical 1993-12-20
.
.
The following pro!oct as submitted has the following
225 FIFTH STREET zoning, and doe" not requirespacific lend UDe ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97'Jl'floval. I ",,/J rl '2 \\ v:---.. A
INSPECTION REQUEST: 726-376&1ino l-..;.U\.K Ci ty Job Numbe~ '--1 \ J nLf-}
OFFICE: 726'-3759 . 101__ ('\ -:::w,...--a~
Dft..~~ 0- '-"3-=- CoSIPLETE FEE SCBRDULE BELOV
1. \~~:J;;W OVN~I\Lr.a..cW.lil Signature C C
C)nI,-~ 1\Q\!.~~9 . u./A.
\ ry0~~~~~ cMcO
r(\JOB DESWFTION - 11- _1 "-rlll-ri-..l-t n P-..
l vf\ 0 \" 1 1'1 (\ I 0 1:X )"'\-U"f'O. N.~~
2. CONTRACTOR INSTALLATION ONLY B. Se~vices or Feeders
"\J..a...h \" . ~ f". ,..../l-lnstallation, Alterations
Electrical ContractorQ)\, ) \\)~ \~ \.Q..l..\I or Relocation:
Address Ip(') ~\Il\t\Ohl~lyrci 200 amps or less
C \ \ Lo(,/J~ 201 amps to 400 amps
CityT ), ~ .' . Ph6nle '(\\- -r.tl3 401 amps to 600 amps
(j --:2n. 601 amps to 1000 amps
Supervisor License Number ;:: )'-{1~ Over 1000 amps/vol ts
. \ . \ q Reconnec t Only
Expiration Date ()..-5
Constr Contr. Number qM \q
4-. \ to .q 4
,
"
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
. ow~s,Y~me U ~'?, _ ~(''C'\<\.o ct,
Address.l?A~.~o\~~9 .
Ci ty ~d Phone
O~'tNirALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signatu~e:
DATE~-------------Z[)-~~-~------
RECEIFT .:. (~ ,\lJlO"Jl
RECEIVED BY:( I .1)(1 )
. - - ---
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. o~ less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service 0, Feeder
uni t.
Cost
Sum
$ 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
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
B~anch Circuits
. $ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Se~vice
or Feeder Permit
$ 35.00. ~C;
I
$ 2.00
not included)
Miscellaneous (Service/feede~
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Ene~gy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$
$
$
$
/2,.,<; CD
I. ' /.c::;
<.3&> . '7.')
40.00
40.00
20.00
36.00