HomeMy WebLinkAboutPermit Signage 1994-6-28
Thelollowlng proJecI .. 8ubmllled ... the follcwlng (!-.1."
zoning. and doea not requlrellp8CilI<: land UlI8 .~.
approval. ELECTRICAL PERHLT APPLICATION
97ft 77 Zoning fr'Iot l to. o. lI.lU\C\ -::l ()
726-3~~ ~-?'6-c,'-f City Job Numbcr ~\,\ i 1,-)'--\
Authorized Sl9nalure f'l3f.'^--COHPLETE PEE SCIIEDULE BELOV
1. LOC~pu. Qll. I~IJl,.TION ~'nA-
~~h'--'\ 'N... \ \ "'\ ~ \.J\~ A. Nev Rcsidential-Single or ~
- - Hulti-Family per dvelling unit. ,
LEGAL D~CW:~OA ~~\, Service Includcd: '"
\,- CO ,4-t ~') _ l..-'- .Ju Items Cos t urn
~~SCR~~ ~D ~
Permits are non-transferable and~
if york is not started within 180 days
of issuancc or if york is suspcnded for
180 days.
225 FIfTH smmn
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
2. CONTRACTOR INSTALI..ATION ONLY
Elcctrical Contractor \. \~b
:i1.'II,..,~t:II.:.LU
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manu!' d Home or
Modular Dvellirig
Servicc or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
$ 85.00
$ 15.00
$ 40.00
Addrcss ~ \ CC{) lnn 3100t 200 amps or less $ 50.00
City~fi %b-1k~1o 201 amps to 400 amps $ 60.00
Phone 401 amps to 600 amps $100.00
~\4?:"s 601 amps to 1000 amps $130.00
Supervisor License Number Over 1000 amps/volts $300.00
- Reconnect Only $ 40.00
\(') . \ .q~
Expiration Datc
Constr Contr. Number 4~\Q.q
Expiration Date
4. ~4.q5
Signaturc of Supcrvising Elcctrician
_~A
Addrcss~~ f) E.N\GJr~d
Ci ty rJ. "QQ 1\9- PhonL~~t'). ~ \r17
OVNER IN~rALLATION
"'-, Ollncrs Name
The installation is bcing made on
property I own which is not intended
for sale, lease or rent.
Owncrs Signaturc:
~~~;~-T---lC(;~~~~~~------------
RECEIPT #: _. _ \J\.o'IL-
HECEIVED Il~'-"""" .
r:.~~Hn.._ ._____~____
C.
Temporary Services or Feeders
Ins~allation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "D"
above
Nev, Alteration or Extcnsion Pcr Panel
One Circuit \ $ 35.00 ro
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Ligh t ing
Limited Energy/Res
Limi ted Energy/Comm"
E.
5.
SUBTOTAL OF ABOVE
5% State Surchar~.
TOTAI.~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~
(.05
'3 'l . ~O