HomeMy WebLinkAboutPermit Electrical 1993-5-26
~"l!') "::-:9 project s.s s\.Ibmittad .1~a.5 the following ~
225 FIITH STREET .:,X'.1 O,)CS not require specifIc land use ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON '97477' HI rf---:;f'V) /) 'f
INSPECTION REQUEST: 726-3769'_'7- Ci ty Job Number ......,....", I ) I~
OFFICE: 726-3759 , ~/~,qJ -
.. ,'~, nelure J - t>- ;J. COHPLETE FEE SCHEDULE BELOV ~
1. LOCATION OF INSTALIiATION9 '
2G.Sb -e MI'fIJ,.) S-C' A. New Residential-Single or ,
Hulti-Family per dwelling unit.
t ,t[3~~~fIIO~~r:r-') Service Included: Items Cost . Sum
JOB DESCRIPTION I Lt..-f./>'A. .......AU- 5 r?V
J)(/'" (Vol<of-t~.....1'\ -{"Ira-,)
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
:It e)(r7"1,,",~ eu;c.r/l-'e.-.ry
fj~/,,",r;> <.I1'rl.-L..
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ev,~ri- 5~ Cp.
Address /2/0 t:1't/c_PA-lc:-rl p::>.
Ci ty evq~l&: Phone <f<at; - 5546
I"'I;,rl.IC- ~ $ -n:'(z.
Supervisor License Number 4"0 S~
Expiration Date "3-/3-"11
Constr Contr. Number 2P - 2- '5'5 C-L5
Expiration Date
/0- I -q~
Signature of Supervising Electrician
#I~~
Owners Na~e1+1) ~Ol''1.I/7~
Address 9.l f)~() ~ ~a. Q'f\ K\
Ci ty SrJ~Phon~.Io-(D.1
OVNER \NbhLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~------{-;;- Q-;(JTn~
RECEIPT 11: J'\ ~ V4 krl
RECEIVED B~ 711_ 0V \ \
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 ampslvolts
Reconnect Only ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 40.
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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
New, Alteration or Extension Per Panel
One Ci rcui t
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 $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 40. Co
5% State Surcharge 2.~
TOTAL 42.. c-o