HomeMy WebLinkAboutPermit Electrical 1994-10-3
.
.
The following project .s submitted he. the follow;
loning. and docs not require specf.ic land uoe
approvc.l.
ELECTRICAL PERMIT APPLICATION
97477 Zoning L-I),f...
726-iP..~:!jtJ-l';~#
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
City Job Number Cjij/tJJ3
CQMFbETE FEE SCHEDULE BELOV *'
Ney Residential-Single or
Multi-Family per dyelling unit. - "
Service Included:
~r
Authorized Signature
LOCATION OF INSTALLATION
.,qt7 M4n/
.,
1.
A.
LEGAL DESCRIPTION
/7 tJ;L.3 t./~:3 t9LJ SJf!)'O
Sum
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dyelling
Service or Feeder $ 40.00
JOB DESCRIPTION
7tVO c.Kr~ 13 Y BuIU>t~ PJ',€CT;
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATIO~ ONLY _ a .l.
Electrical contrac~ ~~
AddressrlC\ '2l \\'<if\n~
Ci ty r q "1'1~ n_~ Phone ~S. ffi~ a
supe~cense Number ~~~
Expiration Date \D- \ .C\5'
Constr Contr. Number c'f\-'2-C\ \0
\~.\().QAr
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55_00
$ 80.00
see "Btt above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date
Branch Circuits
Ney, Alteration or Extension Per Panel
$ 35.00 35~
One Circui t !
Each Additional
Circuit. or yith Service
or Feeder Permit I
City
$ 2.00 .~~
~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40_00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 37, ,tZ
5% State Surcharge I, ~5
3% Administrative Fee . I, II
TOTAL </):.::?CJ,~~
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
. ;.~t:t1-~
't:/}
-------------1
DATE:
RE{:EIPT #: .
RECEIVED BY: