HomeMy WebLinkAboutPermit Electrical 1994-05-09225 FTfrfl STREET
SPRINGFIELD, oREGON 97477
INSPECTfON REQLIEST2 726-3769
OPEICE: 726-3759
1 LOCATION OF
I^EGAL DESCRIPTION
JOB DESCRIPTION
+
SPrrINGFIELE,
EIJCTRICAI PERHIT APPLICATION
Ci ty Job Number qla 616
3. COHPI.,ETE FEE SCEEDUI,E BELOV
A Nev Residential-Single or
HuIti-Farnily per dvelling unit.
Service Included:'Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Servlce or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B 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 0nlY
c.
D.
permits are non-transferable and expire
ti uo.t. is not started vithln 180 days
oi ts"u"i ce or lf vork ls suspended for
180 daYs.
2. CONTRAgIOR INSTALI.ATION ONLY
Electrical Contrac to, &rulr4 rferun
Address n n JI o
Ci ty Phone 46/- 5L 7f
Supervisor License Number /78OJLE
Expi ration Date
Const r Contr. Number a 5t4 q
Exp i'ration Date (r-ee 36
Signature of Sulervlsing Blectrician
,t),D{Y1,,r,
0rrners
Address
cl 'Phone
OSNER INSTAIJ,AEON
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temoorary Services or'Feeders
Installaiion, Alteratlon or Relocation
200 amps or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
0ver 600 ampg. or 1000 volts
Branch Circuits
v
Sum
a5ffi
$ 40.00
$ ss.00
$ 80.00
see rBrt
.f
Nev, Alteratlon of Extension Per Pane1
One Circult $ 3s.00
The.installatloh ls befuig made on
piop"tty I own vhlch ls not intended
for sale, 'Iease or rent.
E. Miscellaneous (Service/feeder not included)
Each Additional' Circult or vlth
or Feeder.'Pe.fmi.t
SUBTOTAL OT ABOVE
5Z'State Surcharge
TOTAL .
. ;..'. ..:
Service $ 2.00
-Each installation
Puinp or irrigation
-
Sign/Out1lnb Lightlng-
t,imi ted Energy/Res
-Limited EnergY/Comm T
00
00
00
00
$40
$40
$20
$36 3L@Ovners Signature:
DATE:
5 .3/D' &
/, go */Wr = 2,95i,+8e)- a,g,eb
RECBIVED
-/-q lrt
.' , l i '
225 FTFTE SI?EBf,
SPRTNGPIELD, ORBGoN
INSPBCTION REQTIESI:
OFEICE: 726-3759
1.TOCATTON OP
IAGAL
J9B DESCRIPTION
@
A. Nev Residential-Single or
HuIti-FamiIY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less $ 85'00
Each additional 500
sq. ft or Portionthereof r $ 15'00
Each Manuf'd Home or
Hodular Dwelling
Servlce or Feeder $ 40'00
SPRINGFIELD
Thelollorlng prolec,t as submltted hre the following
zoning, and does not require specific land use
approval.
97477 zoni L-$,\ I ET,BSIRTCAL PERHIT APPLICATION
726f?769 5 City Job Nurnber ?/nara
Ai;i.tic;rizo'J siunature- E '!}1 . COHPI.8TB rBB SCmDUIJ BBLOS
2. CONTRACTOR IHSTAIJ,ATION ONLY
ELectrical Contrac to, -fu'ru,1ra-lt rSecur,
Address
Ci ty Phon"_{h/=5b-18-
Supervisor License Number /180
Expi ration Date /r)-i-qb
Cons tr contr. Number 0 5/4q
Expi ration Date (- -'eK 46
Slgnature of Supervlsing Electrician
lv)h)..r,/|P
Omers nE^e ? \- /r0)acn CYl,*d,
Address
cl Phone
Permits are non-transferable and expire
ii vort is not started vithln 180 days
of i""u"nce or lf vork ls suspended for
180 days
OSNER INSTALI,ATION
The.installatloh ls befuig made on
property I ovn vhlch is not intended
for sale, lease or rent.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50'00
401 amps to 600 amPs
-
$1q9'99
601 amfs to 1000 amPs- $119'99over 1b00 amps/vorts
-
$300.00
Temporary Services or'Feeders
Insiallaiion, Alteration or Relocation
v
B.
c.
Sum
-4t^ tf7t
200 amps or less $
201 amirs to 400 amps
-
$
over 4b1 to 6oo amRs
--
$
over 600 amps or t0OOl6-fts s
40.00
55.00
80.00
f
ee rBn a566
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
Circult or vlth Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIlne Lightlng-
Limited EnergY/Res
-
Limited EnergY/Comm i
$ 4o.oo
$ 40.00
$ 20.00
$ 36.00Ovners Siglrature:
DATE:
5. SIIBTOTAL OE ABOVB
5Z State Surcharge
TOTAL
3b,
/, 8o ?-/Wr,W;y- St:
7 2,93
,??,,
RECBIVBD
p Rn/thnq
I