HomeMy WebLinkAboutPermit Electrical 1995-8-4
The following project as submmed hzs the following
zoning, and does not require spu.::;ffic land use
approval.
Zonina l-:-D 12- ELEcrRICAL PERMIT APPLICATION
97477 ;X-4~
726-37ff~ _ . . Ci ty Job Number tt S- 0 9 z..h'
Authorized Sjgn(.~ture,~ ~OMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
.J..7.r At.L~A1 AUe
LEGAL DESCRIPTION
/703 - 2.3 - 63- 0 '7'oc~
I -
JOB DESCRIPTION j
I ____
~EM "OeL - ~~h ~,e~LltL~1.
Permits are non-transferable and expire
if work'is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contl"actor BE T'T/'5 E~
Address /7# AL..L(f?A1' Ave
City..s?Jl./JJ(gAt!:l-O Phone 70/7-/7/.5
Supervisor License Number ~/~-5
Expiration Date If) - 1- 9.r-
Cons tr Con tr. Number /t> ~ 37 z..
Expiration Date
z - 7 - 10
Q::e j~Upe~rician
Owners Name 7(,() /) W A ~A./ e Ie...
Address ~ /~- _A LA@N L1 tJ e
Ci ty ,r;P.2/dFi'eC/LPhone 7~ 6 - ~8"
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEI PT #:
RECEIVED BY:
~- ~-'?s-
/1I1t 582-
a~ _'!I-' ~, ...
A.
New Residential-Single or
Multi-Family per dwelling 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 Dwelling
Service or Feeder
''-\ $ 85.00
$ 15.00
$ 40.00
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
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~~r 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
D.
Branch Circuits
New, Alteration or Extension Per Panel
/~ $ 35.00
"3<'
... -
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
2.00
/8
$
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not'included)
s.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
'5"3: ~
~~
j.~
~.:zV
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL