Loading...
HomeMy WebLinkAboutPermit Electrical 1994-4-29 -. SPR,AELD , !~" ~v/t../J/Ah? p~,,' .r# 9;;o~'iJ It The follow'ing project as submitted has the following 225 FIFTH STREET ;~~~~af.nd does not require specific land use ELECTRICAL PERIlIT APPLICATION SPRINGFIELD, OREGON 97417 i1 " ~ iA'A "'.-, ;\ l INSPECTION REQUEST: 726-31li9ino \...-''-/ ' City Job Number ~\'\lX::::rt OFFICE: 726-3759 Date 4-~I1-q4 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTAlU;'NlliOOH Signature ^. fo,,- ~41.f.~ h~/N $.7: S/6P~}) \~~~PTIOb f)\r()\ JOB DESCRIPTION ~ ::1JJ7rnU." 6,l/rr'kH at'> AIL G){;/, 'f'Aldr.tY;or/l Permits are non-transferable and expire if work is not started within 180 days 'of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorfA~t::k.s ElIZlX',{. :rA::_, Address '2.17--1 0t.hJ/t.tI"J L5l-1J~, :it I Ci ty CV6EJr/E. tne- Phone 3'-12> -71../t/z.- Supervisor License Number '}.../ 15 S Expiration Date 10 - / - 9S .. , -: VUt 2.tr4'17c.C, Constr Contr. Numbel".3v 31''1 Expiration Date tf. /<7 -7<-1 Si~_l!.tur:e...,O~~!~~S~ E~trician (~#ZJ~ Owners Name / J"O-I1!-> ~I W\f>to.0 Address &9. '-fC:;- .....6'/ "'7r. . Ci ty 5P4PLL) Phone '72fo - fl(>-;J. OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------~----72--I'. -- ~--- DATE: ~n <"-J~ , RECEIPT I: _. - ~ ~ \''''- \I 1_ RECEIVED BY: l} . - -- A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: * Items Cost 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 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 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 liB" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit I $ 35.00 J5' ~ Each Additional Circuit or with Service J.f~~ or Feeder Permit a- $ 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 ";;;'1.~ 5% S ta te Surcharge / . 'I" TOTAL 40."""