HomeMy WebLinkAboutPermit Electrical 1993-10-8
The following project as submitted, has the followi
zor.1ng, and does not require speclflc land use
approval,
225 FIFTH STREET I t-ot?/'
SPRINGFIELD, OREGON 97477 Zonino Nt'"
INSPEctION REQUEST: 726-3769 \ 0 Jr> 1~
OFFICE: 726-3759 ,Date d\,IM--
Authorized Signeture_M'v, - -;:nuDT ""'" ~ll~ SCHEDULE BELOV
1. " LO~TION q1l, ~~M-I:ATI~~
nL\. \ \ h \( H' \,Q 'I.CJ
ELECTRICAL PERKIT APPLICATION
'City Job Number c=r~\~2:L~
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
'r~~i~~~
C\~
_~q()cr
Items
Cost Sum
$ 85.00 P2f
$ 15.00 ~D
$ 40.00
-L
4-
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
,.JOB qg:;CRIPT~N
~ ~ ~ n.J:JJ(\ W\C'Q
Permits are' non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
I
2. CONTRACTOR INSTALLATION ONLY
Services or Feeders
Installation, Alterations
or Relocation:
B.
,
Electrical
Con tIVWNrs>~~~3T~::
PO BOX A 726-7895
FALL CREEK np 0",0.
Address
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
Phone
City
Supervisor License Number /),~ ,>j 7-5
L
Exp1'ration Date ~/o,Jr:. ...!-
Constr Contr. Number J...~ ,0'1
EXP1'~ation Date /I')/?',;{
Signature of Supervising Electrician
, ~~ P~A,~
Owners JJnf@~\t\ f\(jp\)Q . -
Address J rYJ 5 ~ LflrflJ) )
Ci ty~li. Phone
01lNER IJsfALLATION
Temporary Services or'Feeders
Installation, Alteration or Relocation
C.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
$ 40.00 I"\()
$ 55.00
$ 80.00
see "BII above
Branch Circuits
D.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
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 /~~.......
5% S ta te Surcharge - '''7.:Z 0:;-
TOTAL /;)2_2 ~
-,
Owners Signature:
DATE: ----7l)-~~~~---=----------
RECEIPT, .: L J I U') I "
RECEIVED BY l l) r .Il n ' ''-../
l\
. '." ,,~ .. ... .... -. .