HomeMy WebLinkAboutPermit Electrical 1994-7-18
.
r
.-
. .
zoning, and d0e8 nol require spaciflc
approval.
225 FrITH STREET Zonlnll uV?
SPRINGFIELD, OREGON 9747a.. 7-1 r; A4-
INSPECTION REQUEST: 726-3/\)~ 'f1fY\
OFFICE: 726-3759 AIL. :.;: Slgn8\Urt'
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~JKAJ ~~~/~
Address I'J :) VII ~ $:P sr:
Ci ty 1J:ufDK.If<, Phone l.P \-.::2 I 3'7
Supervisor License Number / t>/) t,.. ')
Expiration Date /() -; - 9...5--
. C.
Constr Contr. Numberh~_7 _~j
Expiration Date p- ~- 'j>V
~:;i~:~r::t E~e~t:c:~ ~_
Owners Nam~ ~ 1 Jr1qJ\ f~J D.
Address ~q ~) ~
Ci ty _,,~-' .Phone ~.l61lo{o
OVNER IN~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~~;~-:~--~J~-~~tB-ltjb~-~-~--
RECEIVED BY: l.J ,DAA-J -
ELECTRICAL PERMIT APPLICATION
Q4\(1S1
Cit7 Job Number
3. COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
-L
{)....
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
uni t.
Cost Sum
$ 85.00 Bs
$ 15.00 ~
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
1. LOCATION OF INSTALLATION
~.I,l Jl b.d,{>7'l5.I)7)R A.
'LEGAL D~SCRIPTION . ~~~CO
/,,7- .l/S-- )/ft-q'b..eM/ Ar;'~<)
/ I
JOI}.; DESCRI~IqN f'I _ 'd l"" ".....J't 1000 sq. f t. or less
A/!;A'..t.J ~~ ~ ~ \::)LJ...J"" Each additional 500
. sq. ft or portion
Permits are non-transferable and. expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$
$
$
$ 36.00
f (5.00
S't<::,
~:12L
40.00
40.00
20.00