HomeMy WebLinkAboutPermit Electrical 1994-12-13
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769,
OFFICE: 726-3759
i
1" J.or.A'T'TON 'OJ:' i~S'rALLA.TIONI
C;.26 rfN JR .. S Q../.J Ltv', /; (L<fI
, LEGAL DESCRIPTION 8J4:!5 , 1:1-"
Cl'5.-u'1::h.I-'>-J' ~f Pm-y\c ~l _
I
I
JOB DESCRIPTION
IOf) , h.? IT 1=7- r't<3'
I
'perm.it.s aLe non-transfe::rable andlexpire
if work is not started within18~ days
of i~~uancc or if.wg~k 1~ ~u~pt!N~~ !u~
180 days. ',' I
2. ,CONTRACTOR INSTALLATION ONLY
Electr:i~al contractorG/9-~Cf)yJ !~lc:...
Address PrD ,80 'f:- (nL/- c:- I -~
<:::rf-.,..." I f\ _ Cf7s~3 '1 {
(;ltY~7'o0..M' "Phone 7/,9 -;lY'')
-- ou~el:'vj,,)o~' 1..~\;~U~t NI,UllU~~ ' 27"2 cb S
, I
Expira tion Da te I () -/- q ,~i
Constr Contr. Number _C)9(Q(,9
,
I
Expir-ationDate IO-:t'-l-q\.j I
. ' \
Signatu~e of Supervising Electrician
. .', I'
(J0~L~ q'? r .n-rtN~~ i
. ~ I D.
Owners Name-1rA:J'r\:Z OfJ C\:J,,..,, c rh-\~ (" i, d II.,)
, I
Address P.f), 81" Y-' .s~b I
, Cf1'39~ I
Ci tyT\~ \r~.v- r~'y.__ Poone _I Lf '< .-l) I () L
OVNERINSTALLATION
The in~t~ll~tion ;$ b@ing made on E.
property I own which is not intended
f.or sale, lease or rent.
OWne~s Signature:
DATE;-----------=-n ~-r~t3_t{4'h' .
RECEIPTi: " \ ' I Sf a.l
Ucr"""D or,.. C2ro,--,L\. !. I-
ELECTRICAL PERKIT APPLIC!710N
Ci ty Job Number ~, \. \ t
3. C9MPLETE FEE SCHEDULE BELO~
i
I
!
A. N~w Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
:
I ct "~DI.O"C
1000 sq.ft. or 19$& $ 85.00
l;;ach addi t10nal '500 ,
sq. it or portion
thereof $ 15.00 i
:
Each Manuf'dHome Ot I
ModUlar Dwel11ng , , ,1.
' . ,
Service or' Feeder $ 40.00 !
B.
Services or Feeder~
Installation, Alterations
or; Relocation:
20p amps or less
201 amps to 400 am~s
40!1. amps to 600 &lIlpS
601 amps to 1000 amps
Ov~r lOOQ amps/volts
Reconnect Only
c.
$ 50,00
S on.uu
$100,00
$130.00
SJ()() ,00
$40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
20~ t1111PS
Over 401
Over 600
I
Branch Circuits
or less ' " S 40.00 Co' ", "
to 400 amps .... ...... $,..55~OO" ,!.
to 600 amps $ 80.00 I
amps or'1000 vol U s,ee "B" abovel
I
New, Alteration or Extension Per Panel '
I .
One Clrcuit
Each Additional ,
C1L~ull ur wllh ~ervlce
or Feeder Permit
I '
I
$ 35.00
,$
I
i
not include9)
2,00
Mis~QllanQou~ (Service/feeder
-Each installation
Pump or irrigation
Sig~/Outline Lighting
Limited Energy/Res.
Limi ted nneL"sy/O';'11\1Il
I '
s. SUBTOTAL OF hDOVE
5% ~tate Surcharge
3% Administrative: Fee
'J.'I,)'.l'AL
I
$40,00
$ 40.00
$ 20,00
S :)6.00
, t>2'Q,D0 '
54," C5
: .20,.4 0
-'-~ 4 ILl 0=:' :