HomeMy WebLinkAboutPermit Electrical 1995-09-27CITY OF SPR
SPRINGFIELD
The following P!'oiect sutrnilied has the foti
zoling, and does not require speoilic lanci utre
approval.
225 FITIS, STREET
SPRINGFIELD, OREGOY tJ taJ'f ;'tte
ELE TRICAI PERHIT APPLICATION
ob Nunber
COHPI,ETE FEE SCEEDTILE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1-000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
q - f1-t 5
INSPECTION REQT EST:. 726-;].?"6.92e.1 :li$OFFICE: 726-3759'
I.,EGAI DESCRTPTION
.2
JOB DESCRIPTION
A
c
Sum
Supervisor License Number
Ci ty Phone
Expiration Date /?^%
Constr Contr. Number 6 417 >
Expiration Date /?^2e
Signature f Supervising Electrician
Ovners Name
200 amps or less n' S 50.00
20L amps to 400 amps
-
$ 60.00
401- amps to 600 amps
-
$100.00
601 amps to 1000 amps- $130.00
0ver 1000 amps/volts
-
$300.00
Reconnect Only S 40.00
200 amps''or less $ 40.
201 amps to 400 amps
-
$ SS.
0ver 40L to 600 amps
-
S 80.
0ver 600 amps or 1000 voTts see "
,re-/.*
27f'>=*
Temporary Services or Feeders
Installation, Alteration or Relocation
Address
Ci ty Phone
OgNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi. tional
Circuit or vith Service
or Feeder Permi t ,7 $ 2.00 A
E. Miscellaneous (Service/feeder not included)
-Each installati.on
Pump or irrigation
Sign/0utline Lighting-
Limi ted Energy,/Res
-Limi ted Energy,/Comm
bove
00
00
00
Brt a'
.n742.44
$ 40.00
s 40.00
$ 20.00
$ 36.00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
q8-a----E:za
RECEIVED
1. LOCATION OF INSTAILATION.1! ?<72 5- -
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI-ATION ONLY B.
Electrical Contrac tor f/F4/rc-<fu ,
eaaress /a/2- 4t4?z 42.
/5a^-
0vners Signature:
1. LOCATION OF
JOB DESCRTPTION
Permits are non-transferab and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTAII^A,TION OI{LY
Electrical Contractor g-.fu
Address Z
Ci ty e^e& Phone 7 27 -/fr
Supervisor License Number /{5*s
Expiration Date a
Expiration Date
Signat of Supervising Elect r1clan
Ovners /r*-{il-cellDh
SPR .FIELI)
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S 40.00
over 4b1 to 600 amps
-
S 80.00
over 600 amps or fbOO vof[s see uB" a66vE-
Branch Ci rcui ts . .-
Nev, Alteration or Extension Per Pane1
I h5, !n!1m,\,ing prqiect As submltt6d hnS thg
,:. t.i '.':,:::r;oirs not require spoeilic land
JrrFi 'ilvi:i|.
225 YTrIE STREET fli 9i'.-q5 ELE TRICAL PERHIT APPLICATION
ob Number
3. COMPIJTE FEE SCffiDTILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit
Service Included:
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
Cos t
s 8s.00
$ l,s.00
s 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs L/'
401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/voIts
-
Reconnect 0n1Y
SPRINGFIELD, OREGON 97 47],
INSPECTION REQUEST : IZO:5T59..*
OFPICE: 726-3759
A
Sum
s s0.00
s 60.00
s100. 00
s130.00
s300.00
s 40.00
-7='=-eo
Address
Ci ty Phone
OVNER INSTALI-,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE
One Circuit S 35-00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.OO
E. Hiscellaneous (Service/feeder not included)
C
D
-Each insta]lation
Pump or irrigation S
sign/outline Lighting- S
Limi ted Energy/Res $
Limited Energy/Comm S
40.00
40. 00
20. 00
36.00
RBCEIVED
5 dP
LEGAI DESCRIPTION/^a2-?/(t3 2fu7
zoni*e $-D.R-**
/
constr contr . n"^u., 63/)? 7F