HomeMy WebLinkAboutPermit Electrical 1995-9-13
.,
.
SPRINGFIELD
The following project es submittod ha9the following
zoning, and does not require specific land usn
225 FIFTH STREET app,oval. L
SPRINGFIELD, OREGON 97471 zorinr l O,Q..--
INSPECTION REQUEST:, 726;-371it<l \ -3 OJ:>
OFFICE: 726-3759 00,0 "T . 'rJ'A ^_
Aumorized Signature I III r.f\MPr ""''' FEE SCHEDULE
1. LOCATION OF INSTALLATION
_-:2... ? '~2.. ,)1~O ~J' L.A" JF;
f
LEGAL DESCRIFTION
/70'2. 27in
JOB DESCRIFTION
_ Ai A#7'"\/U"!'/ -
00-7,-,/
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~~~ ~~~
Address "2-76"2 C:=.-";,,M""""'/
City
~
Phone .1.t;L:s' -72 J' 7
25"2,0,)
/t;h /95
Supervisor License Number
Expiration Date
Constr Contr. Number 1'7'25""7-
Expiration Date ~.I.:-1l/~&:'
I' /
Signature of Supervising Electrician
{h~~~~
ovne~ame jMr~]A';"
Address
City
Phone b~ 7-4{)50
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
--------------,~ -----------------
DATE: 7'//3/)f '
RECEIPT II: ( '/it'JQ4'
RECEIVED BY: .../~
y
ELECTRICAL PERKIT APPLICATION
City Job Number q.-c;00fY/'-
, I
BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Servjce Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular. Dvelling
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
Cost
Sum
$ 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 "B" above
"
Nev, Alteration or Extension Per Panel
One Ci rcuit i--" $ 35.00 -;? :::j'-: <)-0
Each Additional
Circuit or vith Service
or Feeder Permi t 4 $ 2.00 ':S~ ,ill!
no t 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
IZ.t:
2/"1
'7? .34-
--....
,~