HomeMy WebLinkAboutPermit Electrical 1995-8-31
-..
-.
..,
SPRI FIELD
, . ct a5 submin~d haf. H161ollow'
The followm9.pro}a uire sp'~ciflc land U50
zoning, ar:d ~oas not req' ~
approval. LV
Zoni?,,/ .......,. -
97477D~. (5 -3i~ )
726-37~ k! 'VI
Authollzed Sig^e1Jrl3
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
1~g I'Y\nUnI $,.
I J.l>GAL DESCRIPTION
. - / o "?;:2.,G?-.. ? rylj q nl)
. JOB DESCRIPTION
JS(\ill:M~ LM~j \(l~, ~ II) 0~,
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Connactorr 1S Plli"tmJ;~.
Address P.O. R\rJ, 14-\(1->
I
Ci ty..:J.p~ Phone '14/- '!J.'), :1 (..,
Supervisor Llcense Number \ b 2 b.s
Expiration Date 10 -I-QS
Constr Contr. Number O:H<t!-q
Expiration Date q-/-qS
Signature of Supervising Electrician
?/Arl/L'@ ~~
Ovners Name_Ro ~ ~ II! ~ao rI. I
Address-11-i-, IIJ!-'l,-r-. r Jt.
Cit)' Phone 1410 - 5tq:3
01lNER IN ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
----------~---l'---------------------
DATE: . i:J' -:v ::--9-5
RECEIPT ll: I XX-~-.q
nurvTlron ~v. " u...:~
ELECTRICAL PERMIT APPLICATION
Ci ,'yJob Number L?0t)~10
COMPLETE FEE SCHEDULE BELOII ~
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
S 40.00
$ 50.00
$ 60.00
$100~ 00 1M2."Qo
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installa1ion, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
S 55.00
$ 80:00
volts see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
Circuit or vith Service
or Feeder Permit In
S 35.00
$ 2.00 ~O.OO
not'included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
S 40.00
S 20.00
S 36,00
_I :'le). 00
t,.pn
.1. b'"
I')..Cj,loo