Loading...
HomeMy WebLinkAboutPermit Electrical 1994-6-9 r" -f The. following project as submitted has the following zOning, and does not require specific land use approval. 225 FIFTH STREET SPRINGFIELD, OREGON,97477 Zoning 1Y\ O.e.. INSPECTION REQUEST: 7~~lJ3769 6-'1-14- OFFICE: 726-3759 ' - , Authorized Signature 1. LOCATION/OF IN~T~~~ON 41.'l0 ~ c?0 !tV . LEGAL DE~pp:PTION J" /7 D2--3 '2,L( '.) 007,?) JOB DESCRIPTION _ M." /' -I-'fAA/\ r ~~(\~V 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 ONLY Electrical Contractor Address City Phone 'Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name '/ gAA,rt! ~13~') Address 7 ?Jl~ ~fAA/A 1?-m ;;/ Ci ty SfY Phone 7t/0 -6?J2-;t OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: , >'e'..'~.' ~ .' ,;j' .. ' 'y ._~..._--.. ,.....-.. --. . C:;",'- ., . 4'" '-~'-"'" "<, /":./\ C::?-C--C.r f:.l"'-Ji /" l' R..' :_("~ '~-.... (~/ ~-------__':"'__(L_~__::"J. '---~-------------- DATE: II? - q -7 RECEIPT :it: ' i~ ~"7'"J?p7 RECEIVED BY: /~ A/\ ~ ' ELECTRICAL PERMIT APPLICATION , Ci ty .Job Number Cillo 1 ~'5 1-., \ ~ ~ COMPLETE FEE SCHEDULE BELOY' A. New Residential-Single or Multi-Family per dwelling unit. 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 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 Se~vices or Feeders Installation, Alteration or Relocation 200 amps or less j 201 amps to 400 amps, .' Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 40150 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump o'r iriiga tion Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge ~% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 4:(J . DO Z,ov 1-7...0 ~~z.o