HomeMy WebLinkAboutPermit Electrical 1995-9-19
The following project as submitted has the following
zoning, and does not require specific land use
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . J ;0 ~
INSPEctION REQUEST : 726-3769 Zoning 0"1 '
OFFICE: 726-3759 [iBtc~..~.ii/qc; f
'. 3. COMPLETE FEE SCHEDULE BELOY
l'lla({GTI~ OF.J+~ALLlt'fhfil':6(i Signatuw A.
LEGAL !Jl;;SCluP..IION
j (1)'?:i'YtJZ{O~ 700
/.,OB DESCRJ;jTION
WSplkl :U~/dJj,u ~
Permits are non-tran~ferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
,2. CONTRACfOR INSTALLATION ONLY B.
Electrical ContJ:actor2)~b <(\J2J''r~...
Address ~\t.:'0f\ ~~ ~UQot.J
Ci ty ~\-kri Phon;\\\o.L\~\..cJ
supervis~r 'license Number o\'-\~
\\).\-C\~:)
Constr Contro Number ~~\1- C\,
~ r 'L~ r 4(0
Expiration Date
Expiration Date
Signature of Supervising Electrician
..{~/YlP1J. ~-~
O~ners Namejt1(JjMt/tw'7/1MMJ1k /-hs);#qL
I ,
Address /L(h/} G-. Sf,
Cityiyjn~ld Phone 726-11'-/50
OYNER~NSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----q~~~=1?~----------------
REGEl PT #: J qO(d~-
RECEIVED BY: ih ~
~
City Job Number
9507~~
.-/
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items
Cost
Sum
1000 sq. ft. or less
Eath additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
ModularD~elling
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 J
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60. 00 (pO . at)
$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
D.
Branch Circuits
,"
Ne~, 'Alt~ration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or ~ith Service
or Feeder Permit 3k2 $ 2.00 q7-.(5'O
E. Miscellaneous (Service/feeder not included) "
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm tJ $ 36.00 3~. O'D
5. SUBTOTAL OF ABOVE ' ~C(.oz)
5% State Surcharge q. '10
3% Administrative Fee 5.104
TOTAL 'J()~,tJ't{