HomeMy WebLinkAboutPermit Electrical 1996-12-31
SP.. ,CFIELO
The following p~oject as submitted ,l:as th~ 1o!~cwi
zoning, and does not requireSpeC!110 lane! us.::
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . ~D f2- ' (\ I ^\r;:.OIJ
INSPEctION REQUEST: 726-3769IJZ(/lInp, c. . Ci ty Job Number U'\ Ul ...J\t.,/
OFFICB: 726.:..3759' D;,~te I....,.; I JlP-
. . I J~ COMPLETE PEE SCHEDULE BELOV
1. .~C~~<tNO O~~h~~:wg~rc1:!gnatu"~-~~::'"-';:-;esidential_Single or
. Hulti-Family per dvelling unit.
Service Included:
, LEGAL R^~PTION .
1:-\(')'k 7\ ~)~tl--=)
C'\ JOB aQESCRIfTION
~ ~ ~J0\(\oJ\l'~
AI&4tr
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
. I
\, 2. CONTRACTOR INSTALLATION ONLY
,.
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty ElJGENE'
Phone 485-0922
Supervisor License Number ?Q70S
Expira tion Da te 10/1/9.8'
Constr Contr. Number 04296";{.
o.
Expi'ration'Oate
12/10/~~
Signa ture of Supervisi ntJ' ]:1 ectric-'~a.,
.. t~' ff2A/~
Ovners Name touihr. I_.~ t)S(N,
Address BAAL\8 l'~ ~ ~'( .
Ci ty.lf ~1L Phonerr4. f)';)3ta
OWER lNSTALLATION
The installatioh is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
------------------------1\----.lin-~----
DATE: \0-,.7\\ ''-\W
l\t.\"!:'..1.i'i i: . 0 - hA \ ~(\
RECEIVED BY: '0~\~}) \-n',
Items
1000 sq.ft. or less I
Each additional 500.
sq. ft or portion ~
thereof . --J
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
B. Servic~s 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
C.
Cost Sum
$ 85.00 05
$ 15.00 L\-S
$ L.O.OO
$ 50.00
$ 60.00
$100'.00
'$130.00
$300.00
. $ L.O.OO
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over L.01 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ L.O.OO
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OPADOVE
5% State Surcharge
~ ,30/0,
1O~
$ 35.00
$ 2.00
not included)
.$
$
$
$
\~CPJ
lo~
~.qO
l~D.4D
40.00
L.O.OO
20.00
36.00