HomeMy WebLinkAboutPermit Electrical 1995-1-26
"
he following pro'ect
zoning. IIJ1d doesj n as submitted has the fo
approval. ot requIre sPecific land Use
Z, LQJ fI ELECTRICAL PERMIT APPLICATION
97477 onln" , ,)V
,726-37~ge-J-) (f~91City Job Number q4/5~1
Authorized Signature {1 Y'toKPLETE FEE SCHEDULE BELOV
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPEctION REQUEST:
OFFICE: 726-3759
Ot:- A.
. LEGAL DESJ<B.lPTUJN .
-'~ ~QAt0 UrY.llno
JciB\~.r~~J~_1?~
~ 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
,
Electrical Contractor
Address
lYNN'S ELECTRIC
n...... ...-;-" .
- ~.-"." ''''V-fO~;:t
FALL CFlEEK OR 97438
PIlone
City
Supervisor License
Number 8-3/5 7 - S
/0 In lD. J.qs
Expiration Date
Constr Contr. Number .A3l.DV":
Expiration Date Ie /a. :-
ID.S.qs
Signature of Supervising Electrician
.~~p~~
Owners Na~e 0\~~ ~D.
Address 'st11JC\ \\'\l\ t \'\ &~ra\ \
City~ Phone f}\.\.U1J.L
O~ ~STALiATION
The installation is being made on
property I own which is not intended
for sale, lease or re~t.
Owners Signature:
DATE: , -~,c.~
RECEIt-i', I: /~ /"'..,/
RECEIVED BY: ~ .......---..-.......
';7
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less ~ $ 85.00 LW
Each additional 500
sq. ft or port ion ~ :?D
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
C.
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Temporary Services or.FeedersJ
Installation, Alter!ti~r Re1ocatio~~An~~
200 amps or less ~ $ 40.00 ~ \0'
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Ci rcui ts '
New, Alteration or Extension Per Panel
One Circuit
Each Additional,
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~t cZ;O.~
2..0 I~.CO
q ,'vD &ILo~
SUBTOTAL OF ABOVE
5% State Surcharge
11 I .9lJb