HomeMy WebLinkAboutPermit Electrical 1994-7-12
.
.
. .
The.' ~-s not require specll1e
ZOOlng, an",lroN"""
approYaL
225 FIITH STREET Zoning rniJJf-
SPRINGFIELD, OREGON 97477 7-/L-Cf't-
INSPECTION REQUEST: Oii'!6 J:'69-
OFFICE: 726-3759 Al'1lOIlz&Cl Slgnature-Ll1")\
3.
1. LOCATION OF INSTALLATION
;L6C> ?//v,o....L.{;" A.
-Lf)~Pfr~PTION m?-j1)
JOB DESCRIPTION .
,//'-"'.f"?;;.'u q'- /""osr t:../:y#T 1"'/&;>;' c::,{d
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 ./JDL. P E?l"?
.
Address F/// "rv1;ddv
Ci ty ,;- L1"./? LJ
Phone 7.2 G 6"70 J
Supervisor License Number 50;>.35
Expiration Date /t? /L?~ 9 <)
Constr Contr. Number <J.2.. -,:: t? b
Expiration Date ? ,r ;/ '7 S
Signature of Supervising Electrician
~o
<S.
..z
--------
-
~
OvnersName 5E"f'~o..../I:> /'/,/$
Address ~~o
City .f,r>--""L?
,C. /;....-o...?C
Phone ? Y '? :>,r y.)....
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------71-/r-------------
DATE: '1 . IA -y-r
RECEIPT 11: . j _ ' I~T 1"1.--
RECEIVED BY: 'rJ\ I.z. V'i ~ -/
ELECTRICAL PERMIT APPLICATION
Gity Job Number Cl4 17J4 q
- - J
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$15.00
$ 40.00
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
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
Nev, Alteration.or
Extension Per Panel
$ 35.00 ~
/
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
(~~
~