HomeMy WebLinkAboutPermit Electrical 1994-2-10
..
SP.ELD
The io11owing proiect as submtttad~as the lollowi
ZOf'!Ing, and does not roqUlre spechlC land u~CTRICAL
97471>PPfoval.
726-3769 Zoning '\J..t',
D',\'.2JJp I "1'-1
1. LOCATION OF INSTALLATJQff",,~d Sigr.ature
2S\!.\L. \MA, fJ 51 ~'~rO
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTION
n ('j:J~ I{')() - O;yqOCJ
JOB DESCRIPTION
::r-,^s~l \ S~ C>'I/IO.'f'^'''' +-
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
PERMIT ,APPLICATION
3.
m
A.
CtL/{')/~1
Nev Residential-Single or ~
::::::::.::: :::-::::l::~:'i'. .~
Service Included:
City Job Number
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular INelling
Service or Feeder
S 85.00
$ 15.00
S 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor LP-"';TL ELECT!2Ic.:;J:iVc.or Relocation:
Address 3,&.1.o2Go CEDA'2.. HILLS
CityPLEA~AtJT H-ILL Phone 72.(,,-0105<1
Supervisor License Number "3 '1 q L. .s
Expiration Date
IC)-I- ct~-
.,
Constr Contr. Number 'X'1b '7 C\
Expiration Date 7-1L.(-q.,<r; C1Y
Signature of Supervising Electrician
~ ~ J?Q{;: )
Ovners Name \?-ORFe.'\S oS v\ .p.p0/
Address 2-8''-\ c.. '/\('\f'r-II00 E,T
City S'PPO
Phone 7'-ib-&S2,l('
Ol/NER INSTALLATION
The installation is being made 'on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
~11c.)kj""'l
JlI~' I
"^ )1"')
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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
S 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
Nev, Alteration or
Extension Per Panel
v
3.5~
S 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t -r;- $
2.00
0'"
/0-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5.
__OU
t.( ~ 0..-
Z-ll
'i7 ,~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '