HomeMy WebLinkAboutPermit Electrical 1994-3-11
it
,
Tha following project a. submitted h
zomng, and does not require specifi
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECl'ION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
Zoninp MOl?
Data "S-II-'l4 City Job Number 93/t/o3
Auth~ed Slg~urar~i?F.T1l 1>1l1l_SCHEDULE BELOV
1. LOCATION OF INSTALLATION
770 I-IJI/lLOw /U),
LEGAL DESCRIPTION
/'ltlg '2..'2000 Z:Z/7
JOB DESCRIPTION
Gt..Ecr - AlJJ>/77DiJ -m _"5w.) REX ClJI?P.
Permits 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 B.
Electrical Contractor RI.!C-- aGe..-
Address 55D ei/rMOcYJi
Cit~l1W1 Phone 31A-?I/$
Supervisor License Numb~ -c <)
Expiration Date /.9 ~/(}) - ~~
Constr Contr, Number~7-t.J-S~
.6:..5aOl5
Expi~ation Date /.:+ ~ '7/Z ,
Signature of Supervising Electrician '
~f2'~~
.. Owners Name!1!Jfy,v /. by(~exJID.
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------~~7f-------------------
DATE: ~-( \ -If
RECEIPT, #: ( It{ 0'::::>
RECEIVED BY:' /1.Jv~
A. New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less -LL--
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
.tJ:X2~
$ 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 volts
$ 40.00
$ 55.00
$ 80,00
see nB" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t ~h $ 2.00 ./J:b...'!Z-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE t,b2,c:f!-
5% State Surcharge ~.~
TOTAL ~ t:,qS. 10