HomeMy WebLinkAboutPermit Electrical 1994-2-5
t..
225 FIPTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION .
/-7/J"< 0;-. c_-'":'" 24.:;// ()1)/s2-
JOB DESCRIPTION
~/t1;?~ &A/77!J1 J
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACT3!--INSTALliATION ONLY /';'- )
~_ . /" \...J(t.1-
El?ical Con trac tor -rl t'\ S-rA l6 N'1'
Adaress.::J~ ~ WA,.{).r..., BRIDCJ R/"\_
~i ty :SPF,.., Phone 7 ~<;. -16"8"1
S~pervisor License Number
--- --
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervisin-g- Electrician
Ovners Name
SAr-IC-
"'~
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
\....:..~~
=~-----~------------------------------~
DATE: 1- s- "1 '-1
RECEIPT 11: / ::>, -'7::> 9:>
RECEIVED BY: - ../.J....4. _
"c.( ;. J--- I
,
City Job Number
93/l "79/
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
. . .'
.....ct .. 8ubm d uee
1he lollow1ng pr"l'. I "'lUire opeclt!c \8n
toning. and dOGS nO r
epproval- L.D~ ELECTRICAL PERMIT APPLICATION
97477 Zoning.
726-3769 .., -'2 q!f
[)rIle._.L--c 0:r1'---'-
I>.U\~SiIJ""'U"'- :...l.Vl'1rw.TE FEE SCHEDULE BELOY
LOCATION OF INSTALLATION .
:::2/~ r;"""? tfrl.-,)ex) &. ,v'J,
i
C. Temporary Services or Feeders
nstallation, Alteration or Relocation
\
~OO amps or less
?01 amps to 400 amps
Over 401 to 60~ amps
.~over 600 amps or 1000 volts
D. Branch Circuits
Al'.o.:>Lt /
~.
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular lNelling
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
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
S-o (1;0()
I
$ 50.00 (~o
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit ~ $ 2.00
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
3% Administrative Fee
TOTAL
38/"0
1 (" ""
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
-- J4 .=:'
-'-.(: 6
~
.P
~o.oo
4')-(;)
z.lo
150 fO
';1