HomeMy WebLinkAboutPermit Electrical 1994-7-20
u./
as submitted.... ,_lloWtnQ
'rhe lollowlng pro~ require spee\flC Ieiw..
~oning, and does n
"'rprovol, t, tJ
.
Aulnonze<I SIQnOWrt
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726-3769
OFFICa: 726-3759
1.
LO~~\O\~~~~'\ \)~ A.
\~~~NO\0c0
\\JOB DESkJl.IPTION. 1l...
\P_ \~\ _l'I ~ I I I '"X~
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. CONTRACfOR INSTALLATION ONLY
.
Electrical Contractor
ROSE CORP
Address
R9976 DAY LANE
City
Phone /iR/i-n9n~
1'11r.:I'NI'
Supervisor License Number -15/iRS
Expiration Date
Constr Contr. Number
10/1/95
..
.-
5443i~'""
Expi"ration Date
Q/1n/9~
Signature~,~ upervi~sin Electrician
. ./.// ~ ~ ~~ ~
, 1/----4'"\ P" .V~
Ovners Nam~ ~~ ~~ 't'~ J
Address. \C6f\ \ \. '\)\)f J
CitY~~~PhOne
OVNER \~ALLATION
The. installation is being made on
property I ovn vhich is not intended
fo~ sale, lease or rent.
Owners Signature:
DATE: li.t\D.~ 4
RECEIPT. I: ,t _ _ '" \~Q
RRCRIVED BY: ~ .
.
SPRINGFIELD
ELECTRICAL PERMIT APPLICATION
C14rn~ \
'City Job Number
3. COHPLETE FEE SCBEDULE BELOV
Nev Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cos t
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
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
$ 40.00
$ 55.00
$ 80.00
volts see "8"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
\
as
~
One Circuit
Each Additional
Circuit or with Servic~
or Feeder Permi t \., $
$ 35.00
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
loS .CD
,--1.~l~
~J./') ~.p
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL