HomeMy WebLinkAboutPermit Electrical 1994-7-18 (2)
-.
1
!.-
_.'.
.,....oJ..
, .. . ..!
'\'lI,lbl\bW\^/l pIC I require apeclfto lend ......
toning, and does no
approve!. I i1
225 FIFTH STREET Zoning '-tJ& - ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . 10 At a ,J/Ot:1rf
INSPECTION REQUEST: 726-~ '7--- - (I f'I\. City ~b Number 7~
OFFICE: 726-3759 Authori1edSlgn8lll18- 3. COMPLETE FEE SCHEDULE BELO\/'
1. LOCATION OF INSTALLA~~
33119 C;;-AP.~j ...DR,
. .
t<ffJM~oroq(Y)
J'~~JTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~J)~J ~~/,I~I~
Address l:t .0; IA) ? @ -s'
City...L:l:::l kDi?~ Phone-p?.,-.:l.~
Supervisor License Number / tJ tJ t.s
Expiration Date~-; - ~,-
Constr Contr. Number h' 7 y~"'"
, -
Expiration Date q-~-P ~
Signature of superV~'Si Electr~an
t:?D-c~- _ ---~
Owners Nam.ccnL, Q.~p A-o
Addres/3QQ So/;Z'lJ'\d
City ~~h-on-:W.b~
01lNER IrkJr.LATION .
I.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~~-----~--~--~~I'~~~~--=-----
RECEIPT II: )."..A A _ It "'V\.................
RECEIVED B~ A' ./ J \ ~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. 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
Items
I
JJ-$
Cost
Sum
8S
3:1
$ 85.00
15.00
$ 40.00
$ 50.00
$ 60.00
$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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see fiB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
(0