HomeMy WebLinkAboutPermit Electrical 1995-4-13
.
.-
The following project ell submitted has the follow;
zoning. end does not require specific land use
225 FIFTH STREET approval. ELECTRICAL PERK!T APPLICATION
SPRINGFIELD, OREGON 97477 Zonlno!-l1:' C(' 5/... 'Z Uf 7
INSPECTION REQUEST: 726-3769/11''- r City Job Number \.) J '
OFFICE: 726-3759 D~e:- Y-7)
..Authortzed Signature JJ J!v.... COMPLETE PEE SCHEDULE BELOV
1. LOCATION OF INSTALLATI~N _ \
'3S..7f) D\'tffi~\(. \\",\ 'L\ ,\
LfXiAL DESCRIFTION
[,Od- :=3D 0 lJO \ C\2- .,
JOB DESCRIFTION
\\"-NJ \\(..\"'\\\,....c. " <:..,'(,.;(\.c~
I
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Elec t ri ca1 Con t rac tor cr8lf1J> et.e::11dC:
Address p, 0 ~VX I ifF
Phone 957~~3?2-.
Supervisor License Number L/o9tf~S
Expiration Date !(),..-frCf(;
Constr Contr. Number C{f/Z2()
f .sr-%-Q,fi qlo
City
f)eXI@Z.
Expiration Date
~:gn~~~lectrician
-- ........., D.
Owners Name LQ\\\ ~ ('\....~.\<" ''''\.'''\j
Address(p'2.t (~+eL) cLu A CO
\ \. (i.,L~ ti'ut? / 0.2........). I
Ci ty ~''''''-\T1' ~'-"- Phone '17 Lj 0
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
-------71----------~-----------------
DATE: '-( - /)'-'7)
RECEIPT #:<,- JlloC/4 '-I
RECEIVED B'y: p. m fV-h'I1..JO
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circui ts
"
New, Alteration or Extension Per Panel
One Circuit \ $ 35.00 ~S-
Each Additional
Circuit or with Service
or Feeder Permi t .... $' 2. 00 l.~O -
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
5% State Surcharge
3% Administrative Fee
TOTAL
C\S ,6b
I.\.-\~
~.~"'J
\02.,(00