HomeMy WebLinkAboutPermit Electrical 1995-6-1
'1
The following project es submllted has the fol/owing
zoning, and does not ,require specific land li~e .
:'225 FIFTH STREET approval. ' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning ~t- (),
INSPECTION REQUEST: 726-~l~9 &.;-I-q~ City Job Number '150 /34
OFFICE: 726-3759
Authorized "I~natur. tV. J'VtOIlPLETE FEE SCHEDULE BELOII
1. LOCATI~STAL~~ON /7 /
i)~8'1J dh _ /~r' _ A. New Residential-Single or
" Multi-Family per dwelling uni t.
!7(~ .f)E~ 8AO~Oj ~ Service Included: Items Cost
JOB DESCRIPTION
/1)1";1...._ A )'A~ i~
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~J1?~~ ~~7:
Address JZo"~;:V s;;o "-IV ,
Phone .Jpt6:r YJO';; 7
License Number ~ /7 S
Expiration Date /0'- J- t:Jr
Ci ty t::&c. .
./
Supervisor
Constr Contr. Number f)/A c:;-~O
-
Expiration'Date j& - f- V\
Signature of Supervisi~lectrici
~",/A ~ \It '
. vown~rs~e "1J/JDedu &u.FP( n
Address)Q(.<1Ii' S 3~:5T
Ci t~"'P.~ Phone 7q{~-6Mi
OIlNER INSTALLATION
The installation is being made on E.
property I'own which is' not intended
for sale, lease or rent.
Owners Signature:
DATE~---7~-?73---------- 5.
RECEIP'fl!: f jF7 S/ '7
RECEIVED BY:-., rL-l "'(1 ~
',' .: . ," ' I' .', :::'; '\'~"1\".;':; ):':::;..~:~/).:~~~~; .:~:: :?,.~~-~~:.:.:..,;~:<, ::~'X:.-:,; ~. '. ,'. :.;. '::'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Reloca t'ion:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect OnIy
C.
Sum
/
$ 85.00 S>--ee-
(
I>~
$ 15.00
$ 40.00
,"
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
..'~-
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or WIth Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
....:.,'.,...:';.,..:
. .:.. ~:-o,:..... ," . ' _..
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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