HomeMy WebLinkAboutPermit Electrical 1995-9-18
k lttod \1OS thG bl!oYi\ng
. oiectas9u..,m .,' dO
The tollowmg,Pr, t noire ~peclflC \an U!l.
zoning. e.nd 000:.0 nO re"
.
approval. 11
n ~. ELECTRICAL PERMIT APPLICATION
97477 Zoning l~_!
7i6-37B~. q_\ ':6..:55 City Job Number
Authorized SignB\Uro~LETE FEE ~CHEDULE BELOII
LOCATION OF INSTALLATION
&f~_? .~F::7',
LEGAL DESCRIPTION
/?~...73:? -'"3/ . /?.29t!:'/
/
/ JOB DESCRIpION ./~ 1000 sq. ft. or less
0I,~ott:L ?~~~.~/'?:7~ Each additional 500
',I//,,?,e;..-c.. '.' . sq. ft or portion
PermIts are non-transferable and expire thereof
if york is not started vithin 180 days Each Manuf'd Home. or
of issuance or if york is suspended for Modular'Dvelling
180 days. Service or Feeder
225 FIITH-STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
\ .
2. CONTRACTOR INSTALLATION ONLY
Electrical contPactor~~~
........-- - .
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name/~~~~~~
. " -- . -
Address q~~~~A/ ~.
City ~~:Phone 7$0":::>--/'5"/,/
O~ IN~ALLA~
The installation is being made on
property I ovn vhich is not intended
~or sale,' lease or rent,
Ovners Signa t'(fe:
. "O"n.t_f~-
=-- ---~-------------------------
~ATE:- ~-4S'-~5-
RECEIPT #: I~::S ~
RECEIVED BY: r ;,;J'-:zr-~' .
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
B. Services or Feeders
Installation, 'Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
q5~$"
"H. ~
Cost
Sum
$ 85.00
'.
$ ~5.00
.
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80;00
see "B" above
Nev, Alteration or Extension Per Panel
.'
-L
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~
$ 35.00 -:l::a.---'.
;L.l_-
$ 2.00 z;i'
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
5. SUBTOTAL OF ABOVE "5'7"- --
5% State Surcharge '7.&;;."1> .
3% Administrative Fee /. .~
TOTAL ~ 7 . ~ t.('
f