HomeMy WebLinkAboutPermit Electrical 1994-12-28
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The. following project es submnted has the followln
zomng. and doe!> not require specific land use 9
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Z6nlngfll' )
INSPECTION REQUEST: 7~(}:.3fTJ>'}. 7 t A if..
OFFICE: 726-3759 7 - - ~ \ \
_ Authorized Signature f'-1 ~ 3.
1. LOCATION OF INSTALLATION
100'2 \'Y\pilf\I~'
LEGAL DESCRIPTION
/70 _S 51 1 i
0870 ZJ
JOB DESCRIPTION
1-f;o OJ'lY\I.'I, \llJ!M~-~l ,onn. .~..hQ.(\t:l()lIlmf(} J
\ U'IOA.I~
Permits are non-transferablea~na'explre
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is-suspended for'-
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractorW ~~ortrtl~_)~.
Address P ..0 . ~1....
City~~ Phone~I-11..3b
Supervisor License Number l~g~0
Expiration Date 10 - I -ct5
Constr Contr. Number 03 gL/-q
Expiration Date q - I-q 5
S~~~~~Electrician
L,.-- D.
O~ners Name.
Address IoD1... ffi.Pi rYl J
City~(\"~Phone...11.."-b:lIJ
0\1NER INlfALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
DA~E~----------;~;?~-i;;r~-----------
RECEIPT II: / c; q <),{_
RECEIVED BY: ..,/~.~
-r L
ELECTRICAL PERMIT APPLICATION
q ~/g,7 2-
City Job Number
COMPLETE FEE SCHEDULE BELOV
Ne~ Residential-Single or ~
Multi-Family per d~elling uni .
Service Included:
Items Cos Sum
A.
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 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit ~
$ 35.00
"
$ 2.00
J&Q
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE s4-.00
5% State Surcharge ~.~~
3% Administrative Fee J~~
TOTAL 5Jl. .~,~