HomeMy WebLinkAboutPermit Electrical 1995-7-21
.'
The fOllowing project b'
zoning, and does not ~eqS suo mltted has the following
approval. Ulre sPecific land Usa
Zoning L. D IZ.-
9o,alS1~ L../ -0)---
~Z'Bl{Slgnature rJ M
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INs:tALLATION n~
""33 S'2.. ~\JTH- 1:XDL.::>lxn V "-
LEGAL DES0UPTIONk '1" I"
L-oT ~* I tJlAJ& trI
JOB DESCRIPTION
/LI $'F'K
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Address / .2 ...,. I/U
Ci ty h#))..e.4<;
#lIJ!9~ :lELAd,~D
3.2)2 5/';-
Phone -.-!;} 7. \- - ~ 3 'J
Electrical Contractor
Supervisor License Number /<1) <:l::>~.~
Expiration Date /0 -/ ~ 5','"
Constr Contr. Number tb7f 7.L1.s-
Expiration Date '7 ~ L/ -9 \-
Signature of supervl?ing Electrician
t)~, - if~--~- ~-, /__J____'--
D.
Ovners Name JI~I')I;AJ 24 I~';C""
'6'7 t 5,"5.:2 d s:>/-./
City' <:;::opL-,) Phone ').JiJ -b9~
, - .
Address
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~E~---------')--~[~~-~-=--------
RECEIPT #:' r
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number t1Sj '740
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less f $.85.00 <8\S
Each additional 500
sq. ft or portion ~ 30
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dvelling
Service or Feeder $ 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
$ 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 liB" above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
\lS.CO
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I ~::1d
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL