HomeMy WebLinkAboutPermit Electrical 1994-12-15
Sl'rllNGFIELO
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION '
-=?'~<)") /I~",-n6W ~. /1'z;>,
LEGAL DESCRIPTION
'/7~Z-/~-~o:::o:. &!!J ~~
,
JOB DESCRIPTION 0/1./1-1. f r-
::r::;v 5-rn-U-- r I rTL--ri 1.Jt
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!kee:r ~G
Address 1970,cb 2fZ)R-f "S1' '
Ci t~~0Fi8!J Phone 7c'J7.Z2.13
Supervisor License Number L 43- S
Expiration Date )D-/ ~qs:
Constr Contr. Number (~~~~
Expiration Date~~-~<? -~~
'gnature of upervising Electrician
#~
cwffi(j
Address 3CJS7 H4f1etJ'& t:.p
Ci tY~J7r:;~Phone~4~24JL
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.
----------------------~~-------------
DATE: /'?~/~'4'7 '
RECEIPT II: (/~ ":)~~
RECEIVED BY: "'-::;:' -~..... ~
"
City Job Number 9~/9/?
3. COMPLETE FEE SCHEDULE BELO\I
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
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less (
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Ci,rcu it
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
SlJO~
-2'577
.<::::?_ c:rJ