HomeMy WebLinkAboutPermit Electrical 1994-6-21
The following ptoJIlCt aa aubmltt6d hee the ,.,
zoning, and doea not require specific land l!lIL_
225 FIFTH STREET approval. ELEl.-nuCAL PERMIT APPLICATION
SPRING~IELD, OREGON 97477 L{),p> r..I.1I3. I,? '?
INSPECTION REQUEST: 726-3769 . ~on~p 'City Job Number lLf~L;~
OFFICE: 726-3759 Oelev,-21-Q'-f
'3. C~LETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATiQN Authorized SignetUrt, ~. .
l.tli16 EdIJ.1'1ev .Pr. A. Nev Residential-Single or
Multi-Family per dvelling unit.
, LEGAL DESCRIPTION -^ Service Included:
_' ~()1..;.oz:l;l.,. ~D-' Items
JO~,DESCRIPTION 1000 sq.ft. or less
, Nt,A) <~fl...cJ; Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
a
,~.
"
. ..-- - ~...;.
r..
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
2.
CONTRAClOR INSTALLATION ONLY
Electrical
Contractor I v.",," 0' ____
---t::-t1\'.\ ~ "'-'-\"Inn..
PO B()X A 726-7895
FAll r.,,~ ~"~3
Phone
Address
City
Supervisor License Number :)357 .~<;
Expiration Date LO /"1 ~
Constr Contr. Number ~?-I'6-'-1
IOh3
Ci ty Phone
OWER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
-------------------t-------------------
DATE: b - 'U -qIJ
RECEIPT I: r~...j 1
RECEIvED BY: Ii ~
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
Cost
Sum
$ 85.00 ~
J.....
~
$ 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
or less
to 400 amps
to 600 amps
amps or 100u
volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
SA State Surcharge
3i6 !1!ClIM.M....I~ ~
IO,A-L.-
not included)
$
$
$
$
II '7. cJl)
1;.7r::;
~~
40.00
40.00
20.00
36.00