HomeMy WebLinkAboutPermit Electrical 1996-2-22 (2)
The. following project as submitted h"s the It
zonlOg, and dOB9 not require spaciTic lend ue,e
approval. -
Zoninp c.. c-
97477 D"~" 1{-:+=>(1?
726_3769ilorlzod Slgnatur.
..
I
,
225 FIFTH STREET
SPRINGFIELD,'OREGON
INSPECTION REQUEST:
OFFICE: 726~3759
1. LOCAJJON, OF INST~LATION
10.1/5 ./fd,.&a....;;O('.14 ~
. LEGAL DESCRI'hION
/~r6r? '1_':/ ?"....., /?2~~')
I
alOB DESeluPT)jON
I'l,~.n; '7f!~J-.-
I
Permits are ron-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
I
2. CONTRACTOR INSTALLATION ONLY
I
Electrical C,ontractor [;oa/('_ ;::/~{'"
Address .3SIR' ~l.4'AJ;(J~
Ci ty ~Jn.,..4l/? Phone Mf' -SO '-/7
(j / "/ 6'
Supervisor License Number -'>.\ 2'55
, ' ,
ExpHa non Da te
//'J-I-~i!?
Constr Conn:. Number ";/0 - .:;? (/) '1(l,
ILliCit-,
. . r
,
)l Signature of Supervising ~tric~an
;-;P'4fi'14~ -~>>1,{jj
~ .. D
Ovners Name .;71AI:fre::> ~~7~ _'
Add ress / L:>~? 0-fJ~1+';Al .,.,... /:..2=>,
Ci ty ?/Y'?-Z:>
,
Expi ra t ion D,a te
Phone
,
OVNER INSTALLATION
The installation is being made on
property I dvn vhich is not intended
for sale, lease or rent.
Ovners Sign~ture:
~AT~~------+2-::?~-~---------------
RECEIPT ~: I -::<>d1> y~o/ ./'"? ~
.....'"I""roT.""'n n"v.' # '/""/
.
SPRINGFIELD
ELECTRICAL PERMIT APPLICATION
3.
.~ City Job Number f ".5 / S'70t'(
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit .. 1 $ 35.00 /tPS
Each Additional
Circuit or vith Service s/$
or Feeder Permit -t41 $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation.
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
/-'?=t. coo
?~-
/6 J:~-