HomeMy WebLinkAboutPermit Electrical 1993-9-14
~
-
. f .
," ,,;,"',: ,
. '., .,.... -
. ~-~_..,
"'" '.',l,"i
.. ., ,.. ...-
The fol!ow;r;q pr....ipr;t "'s Sl!bm.tt"!r! h'i~ t~fl foilowi
zonin~. <,...... -." ~.,..) ; I ....~ 1 ~.' '''.iw~:~~ ..,;.;,,~, -'';''<'''' ,.-:'.~ I:: use
appw./i:.li.
. I_on:nq'~
97477 a"'"'-'---'--"-'
726L376.9 l--:~.~.j:? . Ci ty Job Number 0 J J LJ-L/ 7
Authorized SignaturE;~I~ \:6HP'I:;ETE-FEE SCHEDULE BELOV
1. 1~(-):r;rN ~ ~~M~!!ON A.
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPEctION REQUEST:
OFFICE: 726-3759
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
. LEGAL DESCRIPTION
)1 O~:J.b/4 O~L-,()(J
Items
Cost
Sum
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feede~
$ 85.00 3Hf1..tf)tJ
JOB DESCRIPTION
C; j)~(9. lr;\/ L; - ()j2J,/ ~J...,J.. 1cv
. cr " f ~'.-L
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
I
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY .
Services or Feeders
Installation, Alterations
or Relocation:
B.
"
'Electrical Contractor
L Yf.~i~;) tLtG rAfe
Add PO BOX A 726-7895
ress f:/I' '... (;,'i:;:;( vA ~/4Jtl
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
Phone
City
Supervisor License Number ;)3l5 7- S
Explration Date //) /7"3 .r
/ - /
Constr Contr. Number ~~~t)~J
Temporary Services or'Feeders
Installation, Alteration or Relocation
C.
/0 - 7?:::>
Expiration Date
200 amps or less
201 amps t~ 400 amRs'
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Signature of Superv~s~~~ Electrician .
.;;;~,,^^ ~ ~ J . .
. OWl)erJ1ame. '-- \'C\ 'r- '( / \ (\Cu\ flU R oj'
Address . ~.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servi~e
or Feeder Permit
$ 35.00
City Phone
OVNER INSTALLATION
$' 2.00
The installatioh is beirig made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignJOutlineLighting . $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 3,LID 00
5% State Surcharge II 00
TOTAL ~C; J 00
OvnersSignature:
--~-----------T~~----------------------
DATE: q flyl q ~
RECEIPT I: .} 0 ;)L/L-!
RECEIVED BY: ~