HomeMy WebLinkAboutPermit Electrical 1994-6-6
r'
....
.
SPRINGFIELD
The. following project as submitted has the lollowl
zonlOg, and does not require specific land usa
225 FIFTH STREET approval. ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L...O,e.
~~i~~IO;2~~~~: 726-JJ~9 ((J-& -q't City Job Number 9'&/c!)8/S"
. Authorized Signature 11. ~ COMPLETE FEE SCHEDULE BELOW
1. LO~TION OF INSTALLATION
Q5I.J- rvIWn~.
LEGAL DESCRIPTION
/ 7.... .o!::>?-=<~.o/<'. cD ?/~
JOB DESCRIPTION
w-tJ\.ll ,...ha~T'fhlIYY\PJ w/IOKW
Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days."
2. CONTRACfOR INSTALLATION ONLY B.
Electrical Contractor.c.~ S ,Q ~ 0 lIt~1(I \ ~.
Address P. (). @:,~( l4..~1-.
Ci tyJf1M'in C\ L'a ~ rL.. Phone .:LJ4./- 1--.1..3 ~
" Supervisor L~~en;se Number I h ~" ,)
10 - I - q 5
0324q
q-I-q~
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
. c2-_~/6;?~
Owners Name o..JUV\.J...l) i l ~~ ru
Address C\54 ~IUrt'\~~t; ..J:t.
Ci ty~ '(\ i\J m O~ ctJPhone .!11J - 4 '1.-ai
- I fiu
OWNER INSt'ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: "./:..qV
RECEIPT I: I '"3~""",
RECEIVED BY: /4:--" - ,:. .
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
volts
D." Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit I
$ 35.00 35.00
$
2.00 ~O
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline LightinR $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
q"\o ~ State Surcharge
TOTAL "
"1'7. 00
::l.q /"
~q. 'I ("