HomeMy WebLinkAboutPermit Signage 1995-10-16
.
zoning, and do.. not requlro apocnlc land ua
approval.
225 FIFTH STREET Zoning c:, ()
SPRINGFIELD, OREGON 97477 n.meJ.Jl=.il()-QS
INSPEctION REQUEST: 726-37b~ 'n 'City Job Number q5"/6~
OFFICE: 726-3759' AulhorizedSlgnature .Q.<V '*
3. 'COHPLETE FEE SCHEDULE BELOV
1. LOCATI~ OF INSTALLATION ~
~/ A. New Residential-Single or
. G>/ - .:t ll'lJY r/ I "" i -',.Ily po, '"On :" '" i ,.
LEGAL DESCRIPTION Service Included:
l?~?'_?Y-~2....- ~5'/G'>
JOB DESCRI~ION ,_.~
NJ.Aj ~i1M/ r::'l r/P'-'\
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor JB Electric
Address 1786 Balboa Street
Ci ty E~Qene
Phone 687-5770
Supervisor License Number 387?5
Expiration Date
In-l-q~
..
Constr Contr. Number 84206'-'-
Expiration Date
6-22-(j)
e OfC:~~
Owners met!JR..RyOlA. <Y"" ~~6
Address ~~
Ci ty Phone6t3 ,~;uj
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT f:
RECEIVED BY:
/4-$.-95""
~'
~~~
ELECTRICAL PERMIT APPLICATION
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
'Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "BtI
/
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Hisce11aneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
V~ .->
2.--
/,<~
1"7- z.~
/to -
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL 'r ~...
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