HomeMy WebLinkAboutPermit Electrical 1995-9-21
S...IINGFIELD
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items ' Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2. -- CONTRACTOR INSTALLATION ONLY -- -- -B. -- Services or Feeders
/1 ~~JJ~/~~ ;nstallation, Alterations or
Ele,ctrical Cont~act()~.l J2AYV1/) Lk/'~ ~_)/,.elocation:__ _ _ .
Address.!}d-{~ tvnra Ad 200 amps or less _
-c _ 201 amps to 400 amps
Ci ty (J .A()~ Phone~;);:)..JJ 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number ~tf()(jt/~, Over 1000 amps/volts
}I? Reconnect Only
Expiration Date .3 7t?
Constr Contr. Number c'1;59oC;
----;;yqlp
1. I\~OCA~O(}OF INS(!L)fTION II _' .
nZS7:... >:1/TlIV) (k<)W ~
LEGAL DESCRIPTION
JOB DESCRIPTION ' tiil;;,
l"YrJ.l//.LW ' ? ph(/){ 1 , f}~
Permits are J.:n-transferable and'expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
~;;~~ 'fcl;;~.< <1."""..
ers Name ten VI /!(}/;@v
Address Lf:J..( 5 J::..uv7ccu:01
Ci ty [LA. ~ Phone 3Lf1I-:Jd-7/
OVNER INSTALLATION
The -installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
e _.
~~~~:-- / ~2r::..- '10 --:--------------
RECEiPT #: U i .:; (/1 ~/
RECEIVED BY: N . YltI
3. COMPLETE FEE SCHEDULE BELOV
$ 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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see 'IB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$
2.00
not included)
I
$
$
$
$
'7 ()-iJ
./ O.
I . 150
__ &0
...?D. OU
40.00
40.00
20.00
36.00
c:.. / .~O