HomeMy WebLinkAboutPermit Electrical 1995-11-13
.
.
SPRINGFIELD
The following project as Gubmill9<l haG the folio
zoning, nnd doeG not require specific land usa
approvetl.
Zonino
225 FlITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Dato
97477
726~9'od SIgnature
1. LOCATION OF INSTALLATION
(,,9.5:=\ mn\'rl\l~.
LEGAL DESCRIPTION
/~/)Z. ~c::; 't.'"
e./?" 2- .
JOB DESCRIPTION. ~
,rLO~\l\(\n,~~: Ilrnllk\J f1'Y\'~.('D
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor-Lf-~ ,Qhl~TNf\'I~'
Address P.O. W, /Lj.glJ...,
Cit~l~ Phone'14/--:J,.j.3to
Supervisor LIcense Number ~nS
Expiration Date Ib - 1- qt,
Constr Contr. Number DIl9-i./-Q
Expiration Date q - J -q 10
Signature of Supervising Electrician
_ ~J~C
Oyners Name ~;TII
~'
Address~ CS ~().
~.
City Phone
OUNER INS ALLATION
The installation is being made on
property I oyn yhich is not intended
~or sale, lease or rent.
Ovners Signature:
----------------r.-,~-----------------
DATE: (/ //1/ .,.r
RECEIPT ll: r /7} /~ ./7.
nvr't'Tu"t'n 'PY. Jvh.....L.
ELECTRICAL PERMIT APPLICATION
r< '''-,Tob Number 9SJ-z<Z.2-
3. COMPLETE FEE SCHEDULE BELOII
A. Ney Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
Sum
'Y
1000 sq.ft. or less
Each additional 500
sq. it or port ion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installa~ion, Alteration or Relocation
200 amps' 'or 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
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 35.00
$ 2.00 i.DO
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t. included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
&'7.00
I. 9,t;
I I.t
,;/a, (\ 1_