HomeMy WebLinkAboutPermit Electrical 1995-6-6
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The 1ol!owing project 68 8ubmltted has the 10110._1
?':~r'ing, and does not requlro specific land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
l'1fl~~C5~Ofuf (;Sg^t~TION
~~AL DESCRIPTION
I? ()t-D"01 / /Jtot./(I)
Zoning
97477 Data
72li-3:i:e~ortz.d Slgnatura
JO~~ESCRII}TION r.\
5'F ~5 (7X IX- srm
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
City AtJ-Jl'J:." ,
/
Supervisor License Number
.Y 1945
Expiration Date 10 - 1-
9.7
Constr Contr. Number? J. ",/Ii
Expiration Date :/-/,5'.. 96
~re of Supervising_Electrician
~J C)4>~~ _ ~
- v V .
Ovners Name -b~ UJ!V\J~ 0 Jyv)
Address iJL/- q 0/ -n (( !-(I)JA1/\
Ci ty.1!t/JJdM1. 1- fh"(f Phone 7f/- / '--()li!J1J
OYNER INSTALLATION
."".,..~ '~'~l
'~' ~ ~ ,: \ '
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~--------------1n-:~-:~~-----------
RECEIPT n: (7~
RECEIVED DY:
ELECTRICAL PERMIT APPLICATION
City Job Number q t:') /) ~ '7 tj
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00 65.cP
Each additional 500
sq. ft or portion ~. (p () g)
thereof $ 15.00
Each Manuf'd Home-or
Modular. 'Dvelling
Service or Feeder $ 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"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
I. Installation, Alterations
Electrical Contractor_C 17 !//eu./ /-..:JeJr' or Relocation:
Address Po, .goX 7 tJS'9...5' . 200 amps or less
, 201 amps to 400 amps
Phone. ?o3-t,,F 7./270401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
IL/ S. {)D
-I. Z-"5
4.;>'0
( 0(p.lcb
40.00
40.00
20.00
36.00