HomeMy WebLinkAboutPermit Electrical 1995-12-11
"
The 101l0'vln9 project as submitted has the following
;;:~\r" .q, ~nd joes not require specific land use
225 FIFTH STREET ep>,'ovol. I' T' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning~ n . v:
INSPECTION REQUEST: 726-37,~g ~q 5 Ci ty Job Number ~\ S I X' (\ 0
OFFICE: 726-3759 u - ~ '
. Aulhorized Slgnsture-=--r COHPI.RTR FRR SCHEDULE BELOV
1. LOCATIONlf INSTALLATION .
?J 4aJ Q 'Y11 r/~ S"~ A. New Residential-Single or
I Multi-Family per dwelling unit.
LEGAL DESWPTI,ON ( 7D 2.- SObOO iql.) Service Included:
.:JVYlp~O{}e l-'etJdJl~J-i> '. . Items Cost Sum
Jo,B J;lESCRIPTION 1000 sq.ft. or less $ 85.00
tREjJIMJAl1 EKLtrIl'lCf, SEltv..LC13 Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof 5 15.00
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular'Dwelling
180 days. Serv.ice or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor 118J.l Jik/ da:rt:.LC
I '
Address~:B I 21SO~ ) 42.D 2-:.J 6"'- ,
Ci ty ~III'E . Phon~l- bA"-z.~c;,S
Supervisor License Number ~? S
Expiration Date 10-I-Q8
Constr Contr. Number /4.C;-c.-
Expiration Date
/0 -/-9h
Sign~ Of.!U~/: Electrician
~/'-'~ ~!-./
owne~s Name~"o~~LrfkLk
Address 4(17~ vY\4r.5.D~tJ
City gptiVJQC,~ LLphone 'l&_';'"7T.,Q
" ~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------2l--------------------
DATE:, \1-/)\# Q..J -:'
RECEIPT #:. (<))."1(;>(-'
RECEIVED BY: \'0' \'1\ f'LH Pl\jU
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps --L--
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 t::f}, ()O
$ 60.00~rJ
5100.00
$130.00
5300.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
"
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
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
IltJ.~.
S. So
'~. 39-
I l\(', 'Xf)