HomeMy WebLinkAboutPermit Electrical 1996-4-3
The. following projae\ as oubmlttad has the loll,
zoning, end does no! require op&Cific land UlMl
approval.
Zoning f (.)
225 FIITH STREET DateJ . '7 ~Cjft;
SPRINGFIELD, OREGON 97477 \.. f
INSPEcrION REQUEST: 726-3-9(1/!)orlzed Signature f) _
OFFICE: 726-3759
3. COHPLETE FEE SCHEDULE BELOII *
1. LOCATION OF }:NSTALLATION
'? -5"~ '9 ~~ -;;;;y. A. Ne" Residential-Single or
Hulti-Family per d"elling unit.
LEGAL DESCRIPTION Service Included:
/"}-.::P2-" '7/- '72., C? ~~ Items Cost,> Sum
JOB DESCRIPTION
!A~~';= .~/)?~/~~//~.
Permits are non-transferable and expire
if york is not started "ithin 180 days
of issuance or if york is suspended for
180 days.
CitV<)~
. 1 ;/
Supervisor License
Phone 7<(7 :;Z.P8i1
7v7 6/7'7
'~7'35-~
Number
Expiration Date 10-95
ELECTRICAL PERMIT APPLICATION
City Job Number '9~/2~
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Hanuf'd Home, or
Hodular'Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
2. CONTRAcrOR INSTALLATION ONLY ,B. Services or Feeders
__\-, .in -; ,r Installation, Alterations
Electrical contract~4-,,;}~./Zf.J!f'nmJ~ Relocation:
Address ~ /6. S;; 5:;2ntl ~7 . 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
Constr Contr. Number 77v5~'
Expiration Date ,1tl- '15
Signatu57 /S .super,v~ing Electrician
Gb;"~/{~24;;(
t6(m'~rs Name 'j) F#ft//~
~ D.
hAV~~
_ ,. " l _ .
Address "3 -'7'8-;5" Md#/ ~ -
City -7~?p: Phone ;/?6-S'~~3
01lNER INSTALLATION
The installation is being made on
property I O"n "hich is not intended
for sale, lease or rent.
Owners Signature:
4.______________________________________
'-/- "3~;Jb
'2.<:!!>~~/-5
//~-
'//
DATE:
RECEIPT II:
RECEIVED BY:
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000-vorts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Ne", Alteration or Extension Per Panel
"
One Ci rcui t yo- $ 35.00 ?l 5: _es
Each Additional
Circuit or "ith Service
or Feeder Permit 2. $ 2.00 'I
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'3% Administrative Fee
TOTAL
no t included)
$
$
$
$
~.~
/.-r=?'
/./7
.L/ '2 .I "2
40.00
40.00
20.00
36.00
,