HomeMy WebLinkAboutPermit Electrical 1995-9-20
_.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATIO~ OF INSTALLATION / _......:: .
9/~ /1f/~t?'~ /~~
LEGAL DESCRIPTION
/~-:/"9-~_ ~//~?
97477
72"6-3769
. JOB DESCRIPTION . .
C"lVa(.~ 7;I'!.If lJld.f'S. .- 5,,('1/'<"5
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
. ,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contl!actor IHAvlrr GUC7€!<.
Address ;;l.~3~~ Nt ,tA"".f1J.u ,e.:>,
Ci ty BR<J.iJ-/ rr4d,'(. Phone 3I4o-"M' 'l1fs
Supervisor License Number :J. r., 8)-5
Expiration Date /O-1'S
Cons t r Con tr, Number 3 &,;/ g g
Expiration Date /0 - '15
Signature of Supervising Electrician
Ot<<) /Ztg-
ovnJs Name S;;CA-,</ E C~e.P
,
Address 34-05 R.4WY LN,
Ci ty .')'/)rbv~/'-!/ Phone /~0-,f4<t4
r
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent,
Ovners Signature:
------------~--------------------------
"7-~-.,::r-
/'9~
.~~~
DATE:
RECEIPT #:
RRr.F.TVRO BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ~.a::> c:;;- 2.L
3. COMPLETE FEE SCHEDULE BELOII
A, Nev Residential-Single or
Multi-Family per dvelling uni t,
Service Included:
Items Cost Sum
1000 sq, ft. Or less $ 85.00
Each additional 500
ft or portion '.
sq,
'thereof "$ \;;,00
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Ins talla tion, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100.00 /30 ::..=.
601 amps to 1000 amps--!-- $130.00
Over 1000 amps/volts $300.00 <3.1 --'
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80;00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Servic~~
or Feeder Permit 1(, $
lj>'D
2,00 ~/-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36,00
5, SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.d::.fk 0 "'.. I3lS
/{:;7-y