HomeMy WebLinkAboutPermit Electrical 1994-8-24
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SPRINGFIELD
Tho following proJect es submitted h<1s the followlng
zoning and does not require specific land use
225 FIFTH STREET appro;al. _ELECTRICAL PERMIT APPUCATION '
SPRINGFIELD, OREGON 97477 ~Df . nA\'" ,q \
INSPECTION REQUEST: 726_376'91nl' - Ci ty Job Number VH ck
OFFICE: 726-3759 Ooto ~ '2J-f~'1'1
1. LOCATION OF INST~Signa\u,"J~ 3.
,::S.::PS Ga./-O.lln..If sJ.. A.
~D~~ION
V'"\ ( ) ,"1t7V-j.rl( )
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
0o::t 0 I
Sum
Cost
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
ins1c:J II ,YrLl r/fy
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. CONTRACTOR INSTALLATION ONLY
$ 15.00
S 40.00
Services or Feeders
Installation, Alterations
or Relocation:
B.
Electrical Contractor,Sonitrol Security
\
Address P.O. Box 21009
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
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
Phone 461-5678
Ci ty Euuene
Supervisor License Number ..L2%IJJLG.
J()- / - 9t:.
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Cons t r Con t r. Number 651 49
$ 40.00
$ 55.00
$,80.00
see liB" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date 6-28-96
Signature of Supervising Electrician
rY\ ,-tol' ~Lr~wl.
. D.
ChMrOn rtxx/dPrf
Branch Circuits
Owners Name ,&-11'11 h "
I
Address Same.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
Ci ty Phone rpf'-I-(YJ."lZ,
OVNER INSTALLATION
$ 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 -L- $ 36.00 ,~"".t.Y)
5. SUBTOTAL OF ABOVE .3fo.(J?)
5% State Surcharge I.J?~
3% Administrative Fee /,og
TOTAL ~
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
;ATE~-----------~-C=S~~L7~---;----
RECEIPT *: w" ,J...N:CJ
RECEIVED BY",_ /)uy>_ ) \\: