HomeMy WebLinkAboutPermit Electrical 1994-6-14
..
.
z~nl~~i: ~~ddoo;' n~t ;equire spec:fic land us
eppj':)lw'al.
ZZS FIFTH STREET Zonino LML
SpRINGFIELD, OREGON 97477 n t (,-/<\.-44-
INSPECTION REQUEST: 7Z6-37b9' e ,
OFFICE: 7Z6-3759 Authorizod'SignatufG
1, LOCATION OF INSTALLATION II/
~::;?ltJq::J, g (.;amI' Farm, lid
LEGAL DESCRIPTION
~7-/S-e::>e::> d///~
, ,
JOB DESCRIPTION
IIJ -; I-/J 1/ - <)',U'.1 JLL+Y
Permits are non-transferable and expire
if work is not started'within 180 days
'of issuance or if v~rk is suspended for
180 days.
Z, CONTRACTOR INSTALLATION ONLY
Electrical Contractor, <:;;n/-fn"J!
Address PI) ~ :2//)/)q
CitY_>;'A!fA'l.fJ~ , Phone-,-Jf& h'J(eZf
, Supervisor Licen.se Number /7YtJ Li!E
Expiration Date 10 -/-9'0
Constr Contr~ Number &)//j-q
Expiration Date t'o-;)f?:Al~
Signature of Supervising Electrician
iV\.~ul- (VI . ",-A,,,::iT
,~ pwners N3f1eJ;.J,mJ Itidl/cf5 (;radt:+ t(,JI/;(J D.
Addressj?tJ &?r ' ..;)q7
Ci ty ~ <Jpr/'!)HeJd_Phone.2!L/!-J./23/
O\INER INSTALLATION
The, installation is: being made on,
property I own ,which is not intended
for sale, 'lease or'rent,
Owners Signature:
DATE:
RECEIPT, t: '
RECEIVED BY:
,~~'(~"
~Z- "
.~'......'~
f'
.. .;,',"
ELECTRICAL PERMIT APPLICATION
City Job Number q~og8 /
W'lV\
3. COKPLETI! FEE SCHEDULE BELOII
A. New Residential-Single or
Multi~F~mily per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B, Services or Feeders
Installation,' Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to '400 amps $ 60,00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
ZOO amps or less
Z01 amps to 400 amps
Over 40l to '600 amps
Over 600 amp~.or 1000,volts
Branch Circuits
$ 40,00
$ 55.00
$80.00
see uBn
above
New, Alteration or Extension Per Panel
, ..
'One Ci rcui t'
,Each Addi t ional ,
Circuifor ..,fth Service
, or FeederPe,rmi t
$ 35,00
$ Z.OO
E. Miscellaneous (Service/feeder not included)
-Each installation
Puinp or, irrigation' $40,00
Sign/Outline Lighting $ 40.00
LAmited Energy/Res ----- ,$ ZO.OO
,Liniited Energy/Comm I $36,60 3k1lJ
5"
SUBTOTAL OF', ABOVE'
5% 'State ,Surcharge
TOTAL" ,
~ . . . ,:<.. .'
I'~ /oIi'"
.-,,~ /.6S
~cro
.~. ~~?
,:"'l $? _ gg'