HomeMy WebLinkAboutPermit Electrical 1995-6-1
ANGFIELD " .... ,,,' ,
~
, as submitted has the 0 0 l
The following. ~rOleC\ require speci1ic land U$e
zOT1;ng. and dves nO .
approval. c., CJ
Zonina
'"
, ola Io+~""
99.." tJrt-
J~g,~g~ignalura
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
, 1. ~J;~~TION
It'} ~~~IONrfJiJ>CD
~.,~lf<1s~o~~ A ~-\
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Phone
t%- 4O'f~
Supervisor License
Number ?"?'1G,5
IO-'-)-CJ,s
Expiration Date
ELECTRICAL PERMIT APPLICATION
C:ty 'lob Numbe~\CfV)
New Residential-Single or ~
::::::::.::: :::-::::':~:.i" "
Service Included:
Items Cos t Sum
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular 'Dwelling
Service or Feeder
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to~lOOO amps
Over 1000 amps/volts
Reconnect Only
S 85.00
S 15.00
S 40.00
l
S 50.00 .:::f)
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
o ' Installation, Alterations
Electrical Contractor.Alkk""ri,c. "i\L>v' f.b:t~'Cor Relocation:
Address 'PO t()o'f.... \ \ \
Ci ty\1-..)c...\\e\'\l\\\e
Constr Contr. Number.?-D- ;2Sctc...
Expira tion Da te Jl::J- / - 0, S
C. Temporary Services or Feeders
Installation, Alteration or Relocation
signa}UJe of Supervising Electrician
'j~tla. .
, D.
Owners Nam cttE~J'\
Addrescl)M \ ro.... )
City evo~J one ~2.:Ilf6f
OVNER I~~AL~ION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A~E~~---------~--~O~\-lJ\~--------
RECEIPT ll: , V \", c:.:'\f-
RECEIVED BY: C1\}~1 \ loJ ,\
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
vol ts see "B~l
above
New, Alteration or Extension Per Panel
,-
One Circuit $ 35.00
Each Additional
Circuit or with Servirf"
or Feeder Permit ~ $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.' SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
4l:L
,-
not included)
.
$
$
$
S
q o.CO
J' c::;n
q.l. i2T
40.00
40.00
20.00
36.00