HomeMy WebLinkAboutPermit Electrical 1993-2-16
S'.'IINC,FIELO
The. following project as submitted hr.\": tho following ~,
zonIng, and does not require specific land U~3 . ~".
225 FIITH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino (' C. 9Q'f'\\40
INSPECTION REQUEST: 726-3769 1'\ 16 ci? City Job Number ~I
OFFICE: 726-3759 [Jate c( - - ~{.J
AuthorizedSignature,\(3. COMPLETE FEE SCHEDULE BELOV *
1. LOCATION OF INSTALLATION ~f
1"1 14- J71I'i1Jo.1 '511 A. New Residential-Single or
Multi-Family per dwelling unit. .
,I i)~~\b.~\ON ()\PC(J Service Included:
JOB DESCRIPTION Plf I~, ;,'X3' Sl'!'"'
,/)rf)()'''-IDN m m'''ltr-<; >c",;..J
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
MIt~~ fu-rM.-
Electrical Contractor W"1r..,..;(. 5~!:
Address
I Ur:> t?FI1<'-I'/t'IP/1 E-{?
Ci ty r.::v,~
Phone 4-6'7 -5~4-C.
Supervisor License Number 4 (.0 S1:
Expiration Date '3 -". -"13
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:
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
Constr Contr. Number
h 2."'lDl
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 12.--'l.O -"'jJ
Signature of Supervising Electrician
, ,;1#~%h '
Owners Na~e-...~ l'\ (1Qh ~D.
'dd,.,~,QA ~ IlL)
Ci!y~ Phone -~~
O~~~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting X' $ 40.00 4-0
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
DATE: -:2'-/./-9-;;;>
RECEIPT II: ;; y~
RECEIVED BY: ~ ~
',r
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
40.00
2.-"'''
42...00