HomeMy WebLinkAboutPermit Electrical 1995-10-6
.
.
SJaIII. ~r..!...La
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQuEsT: 726-3769
OFFICE: 726-3759
1.
LO~?!, o~fW:<'f':\~ 0 (V
~ D~.S~IO~.,.....,....r\
\.t'\"'"A.\ \~ 'M.l LA..../
JOB DESCRIPTION
CA.y/...,,,... /bMF &AlLf6G 71't j;l~AA:-T/,'
,
Permits are non-transferable and expire
if work is not started 'within 180 days
of issuance or if,work is suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor_~ric:..5on. EI(!cfr'f.,kc..
Address r.O, f3o'X ,1,7
Ci ty Jundion [,;-Iv Phone
I
Supervisor License Number
qq:;>-S'if4.8
3't c21 S
1()-\~(r1
Co~s t.r Con t r. Number q l)q 0 ~
Hr'lq
Expiration Date
Expiration Date
Signature of Supervising Electrician
~. ,- ~ :::>;;Z ~~~;. --,c.~
~ . - D,
Owners Name ~~~j;l~ ~~
Address 3'5''J!.., StYI/,./ I c.,/ ~ )
Ci ty Phone 12C,:. - eu26
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------------~-~~-~-------
DATE: /CJ/~./ 5'~ '
RECEIPT II: . _, _ /'01' 2- 2..:5"'
RECEIVED BY: {~ ~~.
3.
ELEcrRICAL PERMIT APPUCATION
Ci ty Job Number q ~ ~9D
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50. 00 ~C'C'
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00
$ 2.00 ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5'.a ,o<::J
z. '7'''
=l.-?f -
~~,,~