Loading...
HomeMy WebLinkAboutPermit Electrical 1994-8-26 . .- SPRINOFIELD The following project as submitted ~ the following zoning, and does not require specific land usa 225 FIFTH STREET epproval. ELECTRICAL PERMIT APPUCATION SPRINGFIELD, OREGON 97477 Zoning q A \ fll:-\.Q INSPECTION REQUEST: 726-3769 City Job Number ~ '-)1 If::> OFFICE: 726-3759 D~e Authorized Slgnelure 1. L~~I& ~'\ INSTALLATION....L ' If. '\-" 0 (}. ()(\ Q,t~ .\ff~~\~N ()9.,rJ.('f) . JOB DESCRIPTIO~ ~~ ,,"II I (\ Q ) \ \ ~ (\f\t? ' Permits are non-transferable an~expire if work is not started within 180 days of issuance or if work is suspended for 180 days. CONTRACTOR INSTALLATION ONLY / rical 'Contractor / / City "" Supervisor 'Expiration Date of Supervising Ele~.- Owners Name....... \~\.. d\ i\A :-t-eJ Address Yj ~ ~ \\. 0 [) I'\() X\+, Ci ty",-~ ~Qa A Phone ~4A . D1:O ~ ~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. I I ~. Signature: fJJ1t " 111. '1jf DAT :==- ----~-~I~-~-2f---=------ 'lUlCEIPT 1I: _ -: 0 " \44' .1(_/7 RECEIVED BY: 'r=-1., () ~ ~ C--1- 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular. 'Dwelling Service or Feeder 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. uni t. Cost Sum $ 85.00. $ 15.00 $ 40.00 $ 50.00 50 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. . Miscellaneous (Service/feeder -Ea'ch' installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~l}.CO c{J , ~O (,':')n ."',q .CXJ