HomeMy WebLinkAboutPermit Electrical 1994-9-22
:"11
tit
. . .'
The following project as & . '
zoning. nnd does not require specific land use
approval.
225 FIFTH STREET Zonino L.\A?_
SPRINGFIELD, OREGONo~74?7 __ _ _ 4_n-C\'-('
INSPECTION REQUEST: 'l!v-J, ,,> '
OFFICE: 726-3759 Authorizc<I Signaturo, L) ti......
3.
1. LOCATION OF INSTALLA'J'ION
./ 2-2.. 7 ""2, /5?i~ fij~ (r?.
LEGAL DESCRIPTION
/71'J 3 2.) 3/ J ,).r:v
JOB DESCRIPTION
~A 4//JY>Y?':n
f Y ~- ~ \
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
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name "RA7tJ~1<;'~P.d~ D.
Address /3<0 rl .A5j'?6V
City Y'J.?J) Phone, 72.C::;:;~tB)1-
OVNER INSTALLATION
, The installation is being made on
property I own which is not intended
for sale, lease. or rent.
Ovners Signature:
~
--------------~~---------------------
DATE: ~ ~2./5'-r
RECEIPT 1I: /9'lI(~_
RECEIVED BY: --. .4,V~
ELECTRICAL PERKIT APPLICATION
City Job Number 9?/~
COHP~E FEE SCHEDULE BELOV /
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
"
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
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
$ 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
Branch Circuits
$ 40.00 ~B ~
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
db tfT)
r"204)
I 2."
jC3.Ui