HomeMy WebLinkAboutPermit Electrical 1995-2-3
/In.
.
J~~i~~~~~I~~~~~j~~t ~s S~~:ltted ~~s the following
225 FIFTH STREET approval. eq specifiC landmCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonin
INSPECTION REQUEST: 726-3769 g City Job Number 95'c::>/2. 9-
OFFICE: 726-3759 . Ome
1. LOCATION OF INSTALLATt~Worize~slgnature
,..2"l6t'J -ffaL IcUA-'I &drr KtJa..d
I CI
LEGAL DESCRIPTION
/?-t>2.~./9-~- 0//0/
,
JOB DESCRIPTION
/n~'5fr:rt/ ,<;"eJ1 n'fy
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
3. COMPLETE FEE SCHEDULE BELOV
A. New ResidentIal-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
It ems Cos t
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor.Sonitrol Security or Relocation:
\
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number /Iof?'l RET
Expiration Date
/IJ-I-qc~
Constr Contr. Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
-::?~~ .
Owners Name !lose IY1:1n -f!. If)offiH
Address (~ In..('
Ci ty Phone _74t:, - :,r86
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
;:? - '3' -"'9 S-
/./9-;;;>
7--~ - .
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
.j-
~
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 liB" ahove
D.
Branch Circui ts
New, Alteration .or Extension Per Panel
One Circuit
Each Additional
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 --1-- $ 20.00 ~uv
Limited Energy/Comm $ 36.00
S. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~lro
laD
, ("'rJ_
J2/. (,of)