HomeMy WebLinkAboutPermit Electrical 1994-9-9
.
.
The following pro)ect 88 submllled has the followln
zoning, and does not require speenlc land use
225 FIFTH STREET approva!. I '" /J ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlnp t-:JJI'- q Lt /30 (
~~~~~~IO~2::~~~T: 726r]~o69 qJ!r--4tJ City Job Number .
tPhor1zecl Slgnku... N yVi.
1. LOCATIONpOF INST4LLA IN
In (" (g lIt?Sd#'Jf '5 . . A.
LE{W.. DESCRIPTION .
I 70 ::>U" L-l/ oc../6()l)
JQB p~SCJUPTI~N/_
Add (/rt/ltrr
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION gNLY B.
Electrical Contractor Iil~ gfc?~
Address ~ W (3 tJ bros6W 12d
City fUq(}1A,Y Phone 7'-'(7--007/
superv'isQ License Number~ 7f175
Expiration Date 10/' I qcs-
'~A . C.
Constr Contr. Number .~ 02f550
Expiration Date__ 10-1- '1(..(
, Slgna.ture of Supervising Electrician
'Is-. til",pp~tJt ~~ ../
I v L- '-::::2 I~. tL '1
Owners Name U/17J '1 ~
Address IO?;r; C!t45t2lvr 5 f--
City:5ori)14-h't/4 Phone 3'15"" -701L/
O~~TALLATION
~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------27-------------------------------
DATE: 7-f- Ift/ .
RECEIPT 11: ''1 r,,~
RECEIVED BY: f!lli
,1-
New Residential-Single or
Multi-Family per dwelling unit.
'Service Included:
COMPLETE FEE SCHEDULE BELOV
Items
. 1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular. 'Dwelling
Service or Feeder
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
"
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.'
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
~ranch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
(
5~OO
$ 35.00
$
2.00
not included)
"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
3S',O-O
J .7'5'
I.I)~
37. 5(1