HomeMy WebLinkAboutPermit Electrical 1995-9-14
The. following project as submitted has the
zonmg. and doef> not require spClcific lend use
approval.
Zoning c/;[)/<J
Oil!e 1-ltf-q5 ..a:p
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769uthorized Signeture
OFFICE: 726-3759 .
1[0 *~O~ frSTALLATION
/ A""2i1-":8'Jt~N 0 &5 iJlJ
.
~DESCRIFTION /l tee
...~P.Ll.fl~"" S(..:>(1AA. hW'
Permits are no~-transferable a~d expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number q 50 4 <f V
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
~. ~/O~ c- ~j~rf.n~nstallation, Alterations
Electrica~ Co~tractor(_(~k'~ /iV~~v~JYor Relocation:
Address 4;)-/5 0l11CCtAd . 200 amps or less
~ . . ,C 201 amps to 400 amps
City . '/J/tl_ _ Phone [QgcJ-47bJ 401 amps to 600 amps
7QU If r 601 amps to 1000 amps
Supervisor License Number ~ ~ Over 1000 amps/volts
,:2Jr;L: Reconnect Only
Expiration Date _.J/"71D
Constr Contr. Number 5SQOQ
Expiration Date c3/Cj((;J
Signature of Supervising Electrician
CP(1)/1 C ~W{Ji1
Qwners Name I Pr/VJ ~ ~
Address Lf.:il S U;U ('o..U?f
Ci ty Pi .{()1/~ Phone-.fi.(.fU-;);)7 /
O~INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~E~-~~;r~~.::~-----------------
RECEIPT it:. <:J/Y 01 '(
RECEIVED BY: ,ua-vl evy-
$ 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' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res I $ 20,00 ;LQ.cXJ
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 2.0. (Jl)
5% State Surcharge I ' ~
3% Administrative Fee . (pU
TOTAL .? I - tP ()