HomeMy WebLinkAboutPermit Electrical 1995-3-1
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Sp"a'E'LO
The following proiact as subm~!ed has the follolVlOg
zonIng, and does not roqulre specific larid use
approval,
225 FIFTH STREET Zoning \\.J/~
SPRINGFIELD, OREGON 974770.10 -.>~l-'i,,-
INSPECTION REQUEST: 726-~769. .
OFFICE: 726-3759 utnoHzed Signature
l.~OCh+ION OF WSTALLATION
fl.,<6 Wt';/lV\<ef ro.rk"""'-If west
LEGAL DESCRIPTION
J'}7I!' 3"- 3'5'- ~'<. t!:) ~/PC>
:tft
JOB DESGll,lPTION
~t"~c../: r-4nr r:'~5 ~...:--,..,
J".?~~......)9. .. fl'
~ermIts are non-trans erab e and expIre
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac torCt<oLUVctI"(J [(",d-t.'<.
Address ~O' &.t ';)'J'J.ol ~,-",-,e-:: <J?Yo')
v
Ci ty [""'iJ",,,,"C 0(( Phone ~(.:3' "637 :3
Supervisor License Number 3"6"d-C(5
Expiration Date 10/9'5
Constr Contr. Number cr5CJICJ
Expiration Date ~~9'~
Signat~re of Supervising Electrician
4LI~~ A.CUP!
Ovners Name
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: -:r....,/~?
RECEIPT It:. /~'Y& ~
RECEIVED BY: -:;2.~' ~ -~
ELECTRICAL PERMIT APPLICATION
tJM
3.
City Job Number 9~~:Z 9/
COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems 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 'Dvelling
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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit /
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 95":-
$ 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 75':--'
5% State Surcharge . - /. ?";;>
3% Administrative Fee /. ~~
TOTAL ? '7. .Be>
.