HomeMy WebLinkAboutPermit Electrical 1994-9-18
.'
.
.
TIle, following project as cUbmitted has th. followln -
225 FIFTIl STREET zonmg, and does not roquire speciilc lantBhBcr'i'8:CAL PERI1IT
SPRINGFIELD, OREGON 97477 approval.
INSPECTION REQUEST: 726-3769 Zoning l-D tZ- Ci ty Job Number
OFFICE: 726-3759 D.A -f" _t'J//
!!te VI IJ 1 T . ~ _ COMPLETE FEE SCIlEDULE BELOY
1. \L,OCA1;J;ON OF ~I.ALLAT:rC+>Nlo~.~'atur.--L::M
\ 0 r L ~ ~ 1 ru> 1 \ \:)\., -71. Ne\ol J\e,au","ial-Single or
. ~ \ Multi-Family per dyelling unit.
\f)P)~~~PTIO\ \ "'\0 C) Service Included: Items
""JOB DESClUPI,~__ ~ '
\ A , \l\O.J... " '\:uJ\O, rl) ~ ~
Permi ts are nIn-transferable and' ex[ Je
if york is not started \olithin 180 days
of issuance or if,york is suspenaed for
180 days.
APPLICATION
C\4 t\3lo
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 Dyelling_ II t!:lr\
Servi'ce or Feeder Z- $ 40.00 ',x)
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
2. CONTRACTOR INSTALLATION UNLY B. Services or Feeders
I'll C'\ j, \ 1\ __ Installation, Alterations
Electrical Contractor IIlye {>rTf"Ic\&1J l)l1l'or Relocation:
Address ~a' f S- P (Y\ <;Or'\~ 0. 'e i?J 200 amps or less
~ I' t\ q <. l r 201 amps to 400 amps
Ci ty Phone 'I ~ -, 00 IC> 401 amps to 600 amps
, 601 amps to 1000 amps
Supervisor License Number ~J3 - S Over 1000 amps/volts
-* c- Reconnect Only
Expiration Date -r~)
'l '" (\ C. Temporary Services or Feeders
Constr Contr. Number 0\0- 3~ I \..: Installation, Alteration or Relocation
Expiration Date If I q r;:;
Signature of Supervisi Elec,rician
t.~O ~) . ' -
O\olners Na~~f\O
Ad"dress ILR /q I)jO {(:{
Ci t~~~(rL Phon 1~.RS35
OIlNER ~STALLATION
The installation is being made on
property I ovn yhich is not intended
for sale, lease or rent,
.
Oyners Signature:
~;~~i-----~~-r('78~~-~-
RECEIPT II: _)
RECEIVED BY., ,yf} ~ l, .
. "<./J '- - \
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80,00
see "Bit
above
Ne\ol, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Admini~trative Fee
TOTAL
$ 35.00
$
2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Plj~
~IO'~,W