HomeMy WebLinkAboutPermit Electrical 1994-3-16
.
.
SPRINGFIELD
laning, and
approval.
225 FIFTH STREET Zoning /111 017 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Dale~llo -ClL/_
INSPECTION REOUEST: 726-3769 rv-, City Job Number .::::;~/~O~
OFFICE: 726-3759 Authorized Signature \. n
3. COHPLETE FEE SCHEDULE BELOV
1. LOCATlO~F :J;NSTALJ.,ATJ.ON
"?(J. rfrY..d U .
LEGAL DESCRIPTION
/ 7~Z2 -&>P _.P:2 2/'?
,
JOB PE,Ss:nPTION
jfiW Vi.f1iY~ Sv.,-12'~<"7fi~-tf1t L
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
. S_'.a.:J::j~~ D.
Owners ~e 5iJY(jtlpflt(L; t1Z~/<;;k//.ItIt'
. ~ ~r-~4Fr ). ~,9 C-"l""i!7"
Address 7~""" C~~,~._/.,.,..-,~.
CitY~~A? Phone ~-:<7~>
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners ,Signature:
---------------------------------------
DATE:
RECEIPT. 11:
RECEIVED BY:
7~ C'5'~97"
//'9"7/'
~~_7- .
//~
A. New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
2. w."nACfOR INSTALLATION ()NLY ?F-Cl.,F-' B. Services or Feeders
Lz.1-;>l" '::.J Installation, Alterations
Electrical Contractor ~;1f7(~#Lr ~d~t4(~~r Relocation:
Address f1r) gcJ --;... 31], 9 -7Y 'tt<-f 200 amps or less
I A. . 201 amps to 400 amps
City s:d L.UAa.,1ILPhone 5i13 .3 700.571' 401 amps to 600 amps
j - 601 amps to 1000 amps
Supervisor Licen.se Number. t;3/ ,T..U Over 1000 amps/volts
/ I. 1/ Reconnec t Only
Expiration Date If) (If)'
l/7_.AtJo. , C. Temporary Services or' Feeders
Constr Contr. Number ~ Installation, Alteration or Relocation
t/~ ?/r V
I
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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
Limi ted Energy /Comm $ 36.00 1G.'~
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
'?? d~
jCe
?."7 l.!!