HomeMy WebLinkAboutPermit Electrical 1993-9-21
.
SP.ELO
The follow;ng project es submitted hae the folio
zoning, and does not require .specific land use
. approval.
225 FIFTH STREET \ fII{/ ,
SPRINGFIELD, OREGON 97477 Zoning~'lV
INSPECTION REQUEST: 726-3~~? q ,'V-'1, _~ City Job Number
OFFICE: 726-3759 ,
'. 5<b/V:T'-<Jf;d rA1Jtl>\~S~ a. l:9I1PLE'fE FEE SCHEDULE BELOV ~
1; LOCATION OF INS'l'ALLATION ~, "i?
C:X2,c, '; ::-# /I7/u/v .fjP;>u'1-tf' A. New Residential-Single or
- " 'Hulti-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
If n:>. ~'J.,O() 0 I ~tJ I I terns Cost Sum
,J,OB DESCRIPTION j
$wJic. <'0 , M I J-I AW1JL; ~
" '
Permits are non-transferable and eKpire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
'2." CONTRACTOR INSTALLATION ONLY
Elec'trical Contractor A 8?-.{' C:c..,cC"
Address
~5 // />?-"'//V
City S /' /.eP
72/' G701
30;)",,35'
Phone
Supervisor License Number
EKpiration Date
/0 / 9..5
9' ;l.. S oC -
'/,10 \qy
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
"'-"
--------
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.'
DATE:
RECEI'PT ,: .
RECEIVED BY:
-q/~~\:-';;-~----------------
IO~1
&:'ll).,
ELECTRICAL PERKIT APPLICATION
OJ ~)L/-S[)
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 $?6D'"
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
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 "nit
above
.L7~3
'it , () D. Branch Ci rcui ts
. Owners Name '2:a,....,J:.. c.~/I ;Vl.oln:%~Ceo
, U. # New, Alteration
Address C:;::2,.::>"'c:., VV\r~ ::L1'3?
City Sv~ ()Q.. Phone (~
OVNER INSTALLATION ILfJ -LA IS
or EKtension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$
2.00
E. Hisce11aneous (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
5. SUBTOTAL OF ABOVE 9.oDO
5% State Surcharge ~oo
TOTAL QLI- Db