HomeMy WebLinkAboutPermit Electrical 1995-04-07SP ;FIELT)
ffxPr$:l,ll:ill:u90
200 amps or less
201 amps to 400 amps _401 amps to 600 amps _
601 amps tor1000 amps-
Over 1000 amps/volts
Reconnect OntY
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
q LICATION
501€
225 FIFTH STREET
SPRINGTTELD, OREGON
INSPECf,TON REQUEST:
OFPICE: 726-3759
97 47
72
1 0
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
2. CONTRACTOR INSTALI.ATION ONLI
Electrical Contractor
BLJ.CIRICAL PERHTT
Job Nunber
COHPLETE FEE SCMDTJLE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
$ 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocati.on:
1
3
A
Sum
v B
D
Address /{ I tr / L
Ci ty Phone 68J zo11
Superviso License Number \5./VS
Expiration Date e€9s
Constr Contr. Number 6'7 '7
Expiration Date e
Signa ture of ising C
Ovners Name
Address
Ci ty Phone
OVNER TION
DATE:
RECEI
C.Temporary Services or Feeders
Installation, Alteration or Relocation
s s0.00
s 60.00
s1oo.0o
s130.00
200 amps''or ess
00 arnps
00 amps
to
Over 401 to
0ver 600 amp or 1000 -7ofTs see "a6ove
Branch Circuits
Nev, Alteration or Extension Per Panel
l
4
6
S
s300.00
s 40.00
4p
00
00
00
Btt
$ 40.
s ss.
$ Bo.
One Circuit $ 35'00
Each Addi tional
::';:::.:'rxl,ll,'"'"&A $ 2.oo
E. MisceLlaneous (Service/feeder not included)
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
0vners Signature:
-Each installation
Pump or irrigation .- S
sign/outfine Lighting_- I
t iili tea Energy/Res -
-
$
40.00
40.00
20.00
36.006
RECEIVED B
5
+.8y
The
zoning'
1
/
225 FIFTE STREET |":e--L::%kff
SPRINGFIELD, OREGON 97417 t..,,:,..,:.. :::.- .:.,
INSPECTTON REQIESTz 126-3769
OFPICE: 726-3759
1 OF TION
DESCRTPTION
35Li I
JOB
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR TNSTAILATTON ONLY
EIJCTRTCAL PERHTT APPLTCATTON
City Job Number
3. COHPLETE FEE SCEEDIILE BELOIJ
A
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home. or
-
Modular Dvelling
Sertice or Feeder
$ 8s.00
s 15.00
s 40.00
Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver i.000 amps/volts
Reconnect 0n1y
ST>FtIhUFTELO
slrecilic lancl use
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Nev Resi.dential-Single orMulti-Family per dvelling unit.Service fncluded:
Items Cost
--!,t :;)l:.;; : -i.l
'-.;
i;s noi ra<4uiro
LU
Zcnin.g.
Sum
B
G b f)u Dut)rLE/a4-2..1u-Electrical Contractor
Address l; L () rLz-(f
Ci ty Eu Phone 683 -1 >a 1*\t-
Supe rvisor License Number )&/ v*f
Expiration Date bq- ?5
Constr Contr. Numbeq (oC +
Expiration Date e
Signature Supervis Electrician
0vners Name t'{,rn**'
Address t3 lL*.t
Ci ty 7Vf pn on" ?€t-) )gS
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $ 40.00
over 4bl- to 6oo amps
-
S 80.00
0ver 600 amps or 1000-tofTs see nB, above
$ s0.00
s 60.00
$100.00
s130.00
s300.00
s 40.00
5a-'"
=
c.ft
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent'
0vners Signature:
E
Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit $ 35'00
f""f, eaaltional
Circuit or vith Servic,e
oi r""a"r Permit -3- $ 2'oo L:'
Miscellaneous (Service/feeder not included)
-Each instaflation
Pump or irri.gation
-
Sign/Out1ine Lighting_-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
s 40.00
$ 20.00
s 36.00
OA
c
DATE:
RBCEIVED
r 5
L.e