HomeMy WebLinkAboutPermit Electrical 1995-10-31
~
Tho fol!owing prof:' t. ," ,"".........:-_...
z~ing, and dOOD not roqulh,\ GpeGnlo land use
approval.
225 FIFTH STREET Zonino l C-
SPRINGFIELD, OREGON 97477 \ \c:\<?
INSPEctION REQUEST: 726-3t6~ I {'\ ~\ \ ·
OFFICE: 726-3759. Authorized SIgnature
1. LOCATION OF INSTALLATION
302Jf q~d~ ,'\h
. LEGAL DESCRIPTION
/ 71") ~ 2. ;2. CYD
t922.~
JOB DESCRIPTION
'?lICit::. ~ ~-<~~n
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
I
2. CONTRACTOR INSTALLATION ONLY
, hI? ~
Electrical Contractor ~t;..tr/7'.,...
W. /~'
Phone 7;17-~11b
/'7.~.s
/6'/, /5'~
Constr Contr. Number 4,~'r;'5'
Expiration Date /Y/$/9~.. .
Signature of Supervising Eiectrician
'dJ.-/ L~~
o'::rs Ham" 451) ~'l1J'! ~~T'
City
u,g
~.-"'"j
. (
Address
Supervisor License Number
Expi'ration Date
..
Address
City Phone ~~j7~~~~
OIINER INSTALLATION
The. installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-----------------r~--------
DATE: , I n.~ .
RECEIPT I: ~_U ..') (41 F--.
RECEIVED BY: i_' \ I j..) ( \ I' \ \ \j,t/
ELECTRICAL PERMIT APPLICATION
GO 'City Jo~ Number ~:5/~7'.J,
3: OoKPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Kulti-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
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit --l-- $ 2.00 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~2c:t:>
5% State Surcharge ~.'~
Wl'fdp Z% ~I'.(,?J Iff ~
S~/~