HomeMy WebLinkAboutPermit Electrical 1993-12-20
-.
SPRING.LD
The, fol'owing project as submitted has the lollowi .
225 FIFTH STREET ~~~':~~a~nd does not require specific land u'\!LECTRlCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 J ",,Q
INSPECTION REQUEST: 726-3769 ZoninaVl r J '" Ci ty Job Number 92//:::( /
OFFICE: 726:"'3759 Dete 1Db,'dcr:>, r~,-dC).Jf ~
3. COKPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLA+lJIONized Signature S'<:
3$o/~ ~L::>!!!FA'~' ~. 1.. New Residential-Single or
. Multi-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
/7'D;I,~/"" '//. ~__..... Items Cost Sum
,
JOB DESquPTION
.:z?e:s . ?Y~/Y"d!F~ &--~Y'.
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 ~'~/~ ~~~
Address /~~ ~ ..7.?/YSQ ~.,,>
Ci ty-E~E Phonefl.f'-~ t/
, "'7 ycr /
Supervisor Licen~e Number
Expiration Date
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
S 60.00
$100.00
$130.00
$300.00
$ 40.00
\
Constr Contr. Number ~~~;r~
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date
8~~ ~~~y
Signat~~ of Supervising Electrician
1/ ~~n -
. Owners Name -&LPA/ Jtr~49'f'
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:
---------------------------------------
DATE:
RECEIPT I:
RECEIVED BY:
/~ '.2.9.9' ~
/P7:7~
/7
./
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 "Bu
above
New, Alteration or Extension Per Panel
One Circuit
'Each Addi t ional
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 .A $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
-:ZP.--
/. "'0
::2"......&>