HomeMy WebLinkAboutPermit Electrical 1995-8-2
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The followir,1g project as S~ire specifiC' IEl~d use
zoning, and doe" not req
approval.
ZOning~t.-
Out~_~.---q? ~ ELECTRICAL PERMIT APPLICATION
974 AJthorized Signature
'726-3769 City Job Number 9 S / :z.e<l
225 FIFTH STREET
,SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
5:b .J .~bt_)
LEGAL DES.QUPJION ~ A-v...,
/78 3 -~f '? A..- c..A )~7p'/
JOB DESCRIPTION (
S~/~ ~~ ,~- ~.,~
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if,~ork is suspended for
180 days.
2. -e6I~&r{tK' INSTALLATION ONLY
Electrical Contract(j"r I!HAJ~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name Krv;X; e h1C;:::o{'M-
Address 6,,::,S A5;:::C-N
Ci ty ~c:;orcL
,
7y7~B188
Phone
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
tor sale, lease or rent.
Ovners Signature:
,~c~
~~~~~---------ti~~~~~~----------
RECEIPT #: · /9: S'6 ~
RV.r.F.TVEO RY: ' __ ~ ,
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
ModularD~elling
Service or Feeder
Items Cost
Sum
$ 85.00
$ 15.00
'2. $ 40.00
~~
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installa.tion, Alteration or Relocation
fi .>-
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80~OO
volts see "B" above
,.
New, Alteratjon or Extension Per Panel
One Circuit
Each Additional
Circuit o~ ~ith Service
or Feeder Permit
$ 35.00
$ 2.00
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
no t. included)
$
$
$
$
~,~
~
2.,
;:;.~. ~o
40.0q
40.00
20.00
36.00