HomeMy WebLinkAboutPermit Electrical 1994-8-25
~
'7
J;"
The following project as submitted has the f(\'I"".ln
zoning, and does rit)t require specific lane! ,;.;.
apprr.NUI.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 ZoninQ
INSPECTION REQUEST: 728,-3769
OFFICE: 726-3759 ffie
Authorized Slgnaturo 3.
1. LOCATION OF INS1;ALLATIO~,
r93:J.{2 . Beve.rl'j S+- . A.
. LEGAL DESCRIPTION-\"lO~-2--JL..~~W
C)"CA..V)"1';'^"'5 Se.-rvtceS +0 de)(;)A~v.f: ,.','.
JOB DESCRIATIO~
ReplC\c\'V\~ 5Q.1\1L~'l2.
&X
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. 7'
2.. CONTRACTOR INSTALLATION-ONLY
Elec t ri cat .Con t raJor
Address /
I
Ci ty
Phone
Supervisor L~ense Number
Si~ature' of Sup~rvising Electrician
~~)-D.
~ ,)-'"'
Owners Name il7/cAO\€-f {;/e,U
Address f) 3 J f? '.Be.ue.-v-J\j
Ci ty Spi')~~'eJJ. Phone 7/)&-0007
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale; lease or rent.
:~::~. -'----------
DATE: 0'- vvJ~ ,,'-' .
RECEIPT #: 1 e-{ ~ ~ \
RECEIVED BY: (i ~
')
ELECTRICAL PERMIT APP~ICA.TIO~ f
Ci ty Job Number q L/ I "JiJ4
. \ .' /
COMPLETE FEE SCHEDULE BELOY
New Residential~Single or
Multi-Family per dwelling unit.
'Service Included:
1000 sq.ft. ~r less
Each additional 500
sq. ft or portion
. thereof
Each Manuf'd Home or
Modlilar-Dwelling
Servi~e or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps t6 600 amps
601 am~s to 1000 amps
Over 1000 amps/volts
Reconn~ct Only
Items Cost
Sum
$ 85.00,
$ 15.00
$ 40.00
$ 50. 00 So IJ!)
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocatio~
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Branch Circuits
One Circuit.
Each Additional
. .
Circuit or with Servic~_
or Feeder Permit ~
$ 35.00
$
,1- ,[1)
2.00 ~
not. included)
E.' Miscellaneous (Service/feeder
, -E~ch installation
Pump or irrigation
'Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$
$
$
$ 36.00
$~
..s
40.00
40.00
20.00
&Z.OV
'3./0
I ,$~
'lo~.qh