HomeMy WebLinkAboutPermit Electrical 1995-1-26
-
If,. f-"~"inQ project a9 .ubmlttad ho:s the following
1 ,i1d does not require spectflc land use
225 FIPTH STREET r, ",,"'. fl. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina L,f) L.-
INSPEctION REQUEST: . 726-~769]_) (. .u-
OFFICB: 726-3759 L ,-- ' ,;"; 1 ') yv"\
Au'.horizad Slgrn:turo (\ , ,,: COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION ,/
::;z.~(O/ A/< /772L"ot-. A.
G""L",",'" \lj~~ \)\l..-
, LEGAL DESCRIPTION ' -"f/d
/71'77.. "'2c! 81"> 007(;J~O?07
JOB DESCRIPTION
7'ihOA' Le ~~/.7 ~c=.
I
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
!
9i/k 77
'City Job Number
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
Cost
Sum
~ 5 6-D
..-- $ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
90,-
t'n
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor nTxnN"1 "rTDTr
$ 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
1130 BAILEY HILL RD #24
Address
Ci ty FIIGFNF Phone 144-~1q.5.-
Supervisor License Number
36145
IO/I/95 ..
Expiration Date
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
.-
66l<'Q4
Constr Contr. Number
40.&0
$ 40.00
$ 55.00
$ 80.00
see "BIl
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expi'ration Date
~/?,/a~
'--
.
SignaL Supe~ising Electrician
~ /7 ~ / D.
Ovners Name '5",v--v'6L) ,;1. ((J/AUeCJUJ
Address 777"{/, t,S-/!:t<:r.
above
Branch Ci rcu its
Nev, Alteration or Extension Per Panel
$ 35.00
One Ci rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
72" - ~ &..r
Phone
'SpA
City
$ 2.00
01lNER INSTALLATION
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 . _ 2/?,.tfO,
5% S ta te Surcharge, ' /0,7:;'
. T9TM. :J~. *dPr~;b" .::--~ '~-.~:.-
'Td~ L .~ 3.2. ,2-D
The. installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---/;;r~-~~i~---------
/ (/.7 / /"i
../4/~
~
DATE:
RECEIPT, I:
RECEIVED BY:
~