HomeMy WebLinkAboutPermit Mechanical 1995-6-30 (2)
",:
'I"'!.'"
t>,f.:~1:~~~~~_' r . The ~~1l0~Nlng project ns su.bmtrted. has the f~lloWI ,~
~.,':' .,.. ;ii5_~Pi:FTB STREET. zo'mnQ: and does not requ<re specHlc land uELECTRICAL PERKIT APPLICATION
: ','~~'S'PiuNGFI~LD. ORECON 974dppro,al. LV
. .,,;ytiiiS~';';'uON REQUEST: '726-3769 Zoninb
y~~,,~/, '" ," r
. \'it'>OFFI~: 726-3759 . . D~toi.d::..)(O--t1)
,~sg:;!::i:.'~~T~N' ~~;~LA~~~rlZOd Slgnalur. rJ ~
:{.," ~ '; '" . .
'~;,,;r,':? .:;.'~ DEj~PT~NI ~.7-1?e-O
",
.
. , JOB DESCRIPTION
:.LA)<;~ ~Jf f flc'Pl;J
,': ."..' 'Permi ts are non-transferable and expire
"};"":' U""ork is not started "i thin 180 days
..i\ii,';-'>'of,"issuance or if "ork is suspended for
~(;1("': 180.days.
I
,2: CONTRACTOR INSTALLATION ONLY
I
,,.' " . c.
.:".:' ,: .Constr Contr. Number ,r,:ll..1~O-.;t5.3~
,.... ' 'ExpiJ:'ation Date Q/30/ q 5'
,~:_: ': .'>s~~atur~ervi'sing Electrician
~.",. ". '.- , / 0 /'l ~
'c' :;' /./ ~/. A -Y/"'-;;./l.P'
" V'
;,:~;'t. Ow~ers Name~);Iql! ~fd -phJit!.U
:~ :~:. t"j'~ ;,' ::,
:;i: '.' "A'ddress
,~r ;\~:,~J., ;." ~ "~:
.""':>' .Gl ty"
\{!',:....~~.\: " "
" :'O\INER INSTALLATION
Phone
'~ I: . '
: "The.' installation is being made on
, .': :property I oiJn which is not intended
:.: .for,sale, lease or ren to
\:, 4. ~
~::.n:\ 'Owners Signature:
\,' "
ii~.~.r . . '
~. :. . ',. '~ATE~------:---~~~-o-3r---------_-:
~' , RECEIPT II:. /"JItf 11
i ' .RECEIVED BY: ,!('//.A-~..,
" (
,
r
"
City Job Number
COMPLETE FEE SCHEDULE BELOW
New Residehtial-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
. ,~:~ -:'~~":~'~"?~d'~~
..i""~'('-4~.i.\~t."
;C""; ",',''''''v't~',
" .c"t:,u,,', "\0
. ,. ~
95/ CJ '72-
uni t.
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B'" above
New, Alteration or Extension Per Panel
$ 35.00 35<:0
2.00
;2.6-0
.200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
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 S 36.00
5. SUBTOTAL OF ABOVE ~ 7,60
5% State Surcharge 1.8S"
3% Administrative Fee 1,1' .
TOTAL -;zc:;- . ? '"
".
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t t---"" S
L--'