HomeMy WebLinkAboutPermit Electrical 1994-4-7
'~"'Ji
. ~.
225 FIFTH STREET The, following project as submitted halt the fOllo~CTRlCAL PERMIT APPLICATION
SPRINGFIELD,' OREGON 97~tzng, and does not requlre specific land use
INSPECTION REQUEST: 726_r~7~'9 tiJU. Ci ty Job Number VJ Lf (J 7.J.+ /
OFFICE: 726-3759 Zonlno v
O8le <1-7-4 ~
1. LOCATION OF, INSTALl-A'!JQR.
3'1'1:5 ffla, n \. "j-l-~~"r"" SIgneture N .~
LEGAL DESCRIPTION
n 1>:1 ~ 1.3..1
Dc., 0fL1
JOB DESCRIPTION
in ";+61// ~ <), CIA r/fv
)
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor. ")"n;1m/ ,-5"c,ill.1
Address P (J. ~ r:J J()()Cj
Phone _t.Jt:,I--'lfn 77
City ?:;-;J~0-
Supervisor License
Number /7/!5_'lL~
Expiration Date /t!1-/-9/"
Constr Contr. Number 1051'-1Q
Expiration Da,te Ia - ::ll?- qG,
Signatqte of Supervising Electrician
I~~ ~4./~
Ovners Name A- ,<;.free.! AJ!-oYnt}{.,v-e.
Add ress c..Sz-tY).("
Ci ty Phone.Jd.!" - %'15.3
OVNER INSTALLATION
The .installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~;~~-------41:;1~-~~------------------
RECEIPT #: "Y'1.6d-
RECEIVED DY: \0.0..
3.
COMPLETE FEE SCHEDULE BELOV
Npv Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ L,O.OO
B.
Services or Feeders
Installation, Alterations or
Relocation:
S 50'OO~
$ 60.00
$100.00
$130.00
$300.00
$ L,O.OO
200 amps or less
201 amps to L,OO amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
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
$ L,O.OO
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ L,O.OO
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm -L $ 36.00 ;';2,(~. f?)
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
,"3c".q7J
I. E.r?
71,0.9/)