HomeMy WebLinkAboutPermit Electrical 2004-12-31
,~'
.
.
SPRINGFIELD
5
VA l:;:V t.: 1 t:UUl
. AMT RECD:2 $ 143.75
The tOllowing project as Submi CHAN~E:
zoning, and does not raqu tted has the fallowing - ' CASHIER' 011
approval Ire specifiC land Use . J.
225 FIITH STREET ' Zonin L'b(t. ELECTRICAL PERMIT APPLICATION
SPRINGFIEJ.D, OREGON glA77 ,g 1,. ,~ '
INSPECTION REQUEST: ,16=?i63 I ....',11-<>1- City Job Number () 1- o'J 0 15-0 \ '
OFFICE: 726-3759 Authon'&d Slgnatur. {t.0
,3.
1., /r;t}qON~/!1%t'/fJ{rf:!-
\
l...LEGAL DESCRIPTION
. I.OJ:,. 3'-1:."2.3
OU?9]
J
_ ~OB DES~PT;rON .
--1Jl.fd.1I.1 COt2.~t(uc.+ LQV\
Permits are non-transfer.able and expire
if work is not started within 180 days.
of issuance or i.f work is suspen~ed for'
180 days.
2. CONTRACTOR INSTALLATION ONLY ,D.
ElEta!OT~a:X;ontr~~ t~~~' ;lMd(lJ~ EJedr;c
Add1~lSlE~~~,~~OR~ '
Ci t~~~~~~~~~~~~lJ- ()D~
Sup~Wi~~'il?~s!QQ;umber I'lJtftS
Exph'ation Date Ib-ol -03
Cons t r. Con t r. Ncmbec' /3;Jbgr)
Expiration Date 2..- J./- {yl
~fd~l~an
Owners Name ~,l'EdYI'(,t,
Address \S~&-~O ~
Ci ty~ Y'\~'b.eLP\ . ~hone 7L{(,:;,-1/?-,}-i ,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
S9KP-LETE FEE SCHEDULE BELOV
, A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
'.~s
I
Cost ',' Sum
(Olp ,ij)
$ 85.00
IO/.Oll'
$ 15,00
Items
1000 sq. ft. or less,,_
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
"
,$ 40.00
S. . t.;';;1...,..~tT.F:""\...I~..{"\,.o~on la',^J fpq1J!r'"'<" you to
erVlces ,Ot" eeuers . ' ,- U \""
I t 11' 't'.., -- Alt~h''t1'' ,h,) ",:"gor. ,OIl,
nSRa'I''':lt,Oi,n,~ ,~,:.rfh(;~~~ul('D &\e 00i :J"h
or e oca 'on :J..... .\. .. . ~, .
, ",' "9"" 'O',"()'OlhrouohOAr.a52-0n1-
:..,l....rl ..',;......... lo.J , ~ " b
zOO amps, or.ulesso\.;t.1i" Dcp:eS l.l's,tS'cHoo' Y
201 am~~il~& 14.o.0;@mps(NOle: me $<loo\:l09~
401 ail!P'fill~~' ,~q0,1,!lI!!P~2c)n um:ty $100COo;;n
601 amps to r3.-P.9.P, i'1",P.~~; ._X,2-2~-$,J!~0. 00
Over 1000 a~ps/volts $300,00
ReconneCt Only ..__ $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201, amps to,400 ,amps
Over 401 to 600 'amps
Over 600 amps or 1000~s
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
New, Alteration or Extension Per Panel
,
,
Miscellaneous (Service/feeder notAncluded)
~Each installation "
Pump or irrigation $ 40.00
Si'gn/Outline Lighting $ 40.00
Limi t'ed Energy/Res $ 20.00
Limi tel:! Energy /Comm $ 36.00
,
~r v.$~(")~ 00
SUBTOTAL-'OF ABOVE - fJi:::/O -. o""-J
7% State Surcharge qo~
3% Administrative Fee )0. '
T01'AL 1,4'''.71,
One Circuit
Each,Additional
Circuit 'or with Service
or~ Feeder Permi t ' .
E.
5.
$ 35.00
I
$ 2.00
'"