HomeMy WebLinkAboutPermit Electrical 1995-3-6
rl If 6.
=-.
The. following project as submitted hos the following
:lonlng, and does not require specific land us
approval. e
225 FIFTH STREET
SPRINGFIELD, OREGON 97477Dm.
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 Authorized Signature.
Zoning 1..- DI.2-
. ,--
.~-[, -1..-:>
1. LOCATION OF INSTALLAT]ON . //1
ZS-<::/0 /f/ /7:D,C}/ 5;..,~./;;.~q7(m A.
. "
LEGAL DESCRIPTION
/71&1?'?~-t::'O_ca?~
~
~O)l DESCRIPTION ~ //
-.S~......~o u//v"c 0; ~~e
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor'12'~ SI",o/<vS',tvB
Address 10/7' d/~v J!t/~./ My 77'-1<><
/ .
City P-lA?""..,4? Phone :54.)-3<>00
,
Supervisor License Number
Expiration Date fi"-Z'>-7'S-
Constr Contr. Number o7S-c;& 9-
Expiration Date :;-- -z3->.s-
Sign~ of ~e~ising Electrician
~~U.
o...n~rs Name :J.: oLJJ.tC./' . ~f
Address 13'/0 'I S-j-
Citq.,.,...~-'I"'cfIJ Phone 741~-C<}lc. 7
/
OIINER INSTALLATION
The installation is being made on
property I o...n ...hich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~~~.-9?
RECEIPT 1I: 7~ 5'"/,)
RECEIVED B'y: --: {:,.- .'" -. ~
ELECTRICAL PERMIT APPLICATION
City Job Number
NVlI\
j. COMPLETJ:: n;~ SCHEDULE BELOY
9~/7/<
Ne... Residential-Single or
Multi-Family per d...elling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular,D...elling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to'}OOO amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.0Q
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
Ne..., Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 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 :2A.....-
Limited Energy/Comm $ 36.00
One Circuit
Each Additional
Circuit or ...ith Service
or Feeder Permit
2~.-
i'.-
. ","0
-;;?,/.~