HomeMy WebLinkAboutPermit Electrical 1994-3-2 (2)
~
.
SPRelELD
The following proJect as su.bmltted.~as the following
zoning, and does not require spec\'lIc land u~LECTRICAL
974 }i1proval.
726-376~oning l.-{)~_
D':\t~ 3~
l~~OCA'l:;rO,N OF. ;rNST~4t'f.~PN,.~ 2iznatuic_ \<:\~
., ? -? F-#f-o ~ / f ~ 5?JS7'fZ, r A.
. /
LEGAL DESCRIPTION
17 (:''Z. ~~ 07') - () i~ oD
.. JOB DESCRIPTION J
/?7~,btt:.,r hc7.P/Lt" 4/YJP~~,d~V
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180:days.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
2.: CONTRACTOR INSTALLATION ONLY
Electrical Contractor /O/:J i,r ~?rt,
.
Address r5// /'"'7P.//V
Ci ty 5'tp /t. t} Phone 7..z.," C?Q;
Supervisor License Number '10 ?- ] 5
Expiration Date /0/1 /9 f .,
. . '. // ",-
Cons t r' Con t r.' Number ~:Lft b
Expiration Date &1(::;-1'" 9 f4
Signature of Supervising Electrician
.7 v.
~~~..., .-'
PERMIT APPLICATION
City Job Number
Cj Lj lYLbl
3.
COMPLETE FEE SCH~DULE BELOY
-
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.~t. or less
Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dwelling
. Service or Feeder
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 . ~
, -
un it.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
v
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 Circui ts
Owners Name Sd;~AJ"70 C'h'?/'?6pr/v~5
,
Address ~3 f f
~
/"?,()./ /Y'
City f-P/LJ
Phone ?)Z:? Y'f / '7
',' , 0\1NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.'
OVners.Signature:
---------------------------------------
DATE: ' ~ -'2- -0 L./ ' .
RECEI PT I: .' t :r r?
RECEIVED BY. li1 \AA~ .
;,,-
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00,
i
$ 2.00
E. Miscell~neous (Servioe/feeder not included)
-Each installation
Puinp 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,
TOTAL '
sLo.CJO
'2. i) '15
se ~. 0 (>