HomeMy WebLinkAboutPermit Electrical 1996-3-27
.
.~
SPRINGFIELD
Tha.tollowlng projact as submitted haslhe k.._.. ,
zoning, and does not require &pacific lend use
approval.
Zoning ;l D v<...
225 FIFTH STREET I I 1_
SPRINGFIELD, OREGON 97477 OUI9.3./;:;;>.., ,.:Lip
INSPECTION REQUEST: 726-376'9Jlhor1zad Slgnalul'll ~ Ci ty Job Number
OFFICE: 726-3759 (-- \
3. COMPLETE FEE SCHEDULE
1. LOCATION OF INSTALLATION 1
5:-3:l ~ Ynr.ll.m.uJ:t:. J rQ.L!l.:l!c ~ 4-1--
LEGAL DESCRIPTION
/?'-4'2~"'~~_ &>~i!:>
/
JOB DESCRIPTION
LJ "M'. -..Q ~urt.. _~
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 B.
.
Electrical cont"actor~S FQonlt\}1I ,/?;~.
Address .P.(). ~~~1--
Cit~f~..!L Phone!1AJ-1-:J.31o
Supervisor ~icense Number I b ghS
10 - /-q<g
Constr Contr, Number tJ?9.4Q
q-I-H,
Expiration Date
Expiration Date
~:;i;;viSing Elect:;
Owners Name MMHlfUL
Address ,"):1.::l~, .JJo.'lfj,4J..-
, I
Ci t . . Phone1tJ.b-1/b ~
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
BE LOll
Items
9a39b
unit.
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installa~ion, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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
-'
New, Alteration or Extension Per Panel
$ 35.00 35',00
$ 2,00
E. Miscellaneous (Service/feeder not. included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
D.
Branch Circuits
The installation is being made on
property I own which is not intended
tor sale, lease or rent,
Owners Signature:
DATE: ~-::?'?-~
RECEIPT #: ..;U>~ 51'5'"'
RF.f:F.TVF.1l IIY: /.,.(''''''''',,__.....
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
::?5on
). '15
-L..()~
:/'1. ~o