HomeMy WebLinkAboutPermit Electrical 1995-4-28
The following P' .
zoning and d ,olae! as subm!tted has Ii
approV~1 08. not require spocff' I t 0 fol!owing
. Ie and UGO
225 FIITH STREET Zoning tv ELECTRICAL PERMIT ~LICATI~"
SPRINGFIELD, OREGOlb97477 - _ 'f5DS'f
INSPECTION REQUEST: 81912(; ~\' City Job Numbe~~ ~
OFFICE: 726-3759 Authol1zed~'
"'gnature '" ,...
1. LOCATION OF INSTALLATION
J 175'" mIL' Y'-
COMPLETE FEE SCHEDULE BELOY ~
New Residential-Single or
,.1,'-F..l1y p" d.,111" .",- '~
Service Included:
3.
A.
LEGAL DESCRIPTION
/? _";1- '3~- '"t~,' PiG ~c:>'="'
JOB DESCRIPTIO~
IE '",.d-t,'CA/, ./Mt/-5~ ~~v:A~yc,
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 ,B.
Electrical Contractor OJ!; Dc.cfr;c..
Address Zb"3/ Haft" "S
City E"U~6f7. Phone P,tN-bOC;g
Supervisor License Number 3 (j /55
Expiration Date /0// J C/S
, ( e_
Constr Contr. Number 7 '1/329
Expiration Date
~ ~~"'b:t, 177';-
Sp/j~' del Phone 3<1'7.-->501
01lNER INSTALLATION
Address
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~----~~;f~~-~~~---------
RECEIVED BY: ,.- :'..:r.!III.l _7'
"
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder $ 40.00
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
~_e>
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
or Extension Per Panel
$ 35.00
$
2.00
/2../"'!~
Signature of Supervising Electrician
IIL_ ~- - --
- ~ / D. Branch Circuits
Owners N'a-n(e ~'" ~auf-o (fc..f+
New, Alteration
met...... sl-
200 amps' 'or less
201 amps to 400 amps, /
Over 401 to 600 amps'
Over 600 amps or 1000 volts
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~~. ~
5% State Surcharge 7.---
3% Administrative Fee C' ~
TOTAL y"? ?-=-
~ _, 4. ,':.,. ';."_
: >
~. - .
\.
"
.
-
..1:,1 ?o-;
-..il. I
-
.. -i.....
" "
0- ~ '
,.."'1.1<:
>
"
'.
. ,
~ .-'
.",.~ '.' . '10":',. ~,t . :. ;
_...____- ~ 4 _-'"
..
~
, -/
City of Springfield
225 Fifth Street
Springfield, OR 97477
(503) 726-3753
Transaction number 017174
Hay 01, 1995 8:29 AH
Received from: AL'S ELECTRIC
Contract/Own : FOR AUTO CRAFT
Address: 2631 HARRIS ST.
City: EUGENE St: OR Zip: 97405
-Building-
Job .: 950549
Description Fee "
IElectr1cal 40.00
'State Surcharge 2.00
3" Admin Fee 1.20
,
Total: 43.20 ,
;-
Amt Received: 43.00 Check I
IAmt Check .. 1062
Received. .20 Cash I
Thank Lorne P. / !
you,
-'
. '\, -'
." .-
t.
"
-.