Loading...
HomeMy WebLinkAboutPermit Electrical 1996-12-24 (2) .. " .' , . ' i,,~t ~," ~lIb'mftted hss th~ fono The fonowmg'proj'-'':''''~~Q' 'i'es~'ecliic land use. zoning, and does rhJl. I is \"" I , 1-', . " . . approval. . .,~\ fL-/ . , . .\..Y \../ I 225 FIFTH STREET : . . I ~\r~ y q{ /.', . . '- ELECTR1CAL PERMIT . SPRINGFIELD, OREGON 97477 'Date.--LJ-\,r. .:-'1, I, hfl~ I',' '..' \ . INSPECTION REQUEST:, ?26-37k.~horlzed S\grl~tura~, :Chy .JOb Nwnbe'r. OFFICE: 726~3759,' '., ' '. : ' ." .....~~. 1. , . LOCATION ,OF INSTAL~TJON . h.76~ Il&/~~~ : LEGAL. DESCl)IPT~Ot!J. 1'702- .'(4' 9- q-. ~~.:? . , , JOB DESCRIPTION. . . . ,~// /2duJbe/t:fJY~i~~e:r: . Pe~m~ls ~re non~tran~fe~able; ahdexpire if work is not started within 180 days of.issuance~rif ~ork is suspend~d for 180' days.' .' , \. . 2 ~ ,CONTRACTOR INSTALLATION ONLY 'Elec tdcaLCon tractor. Address City phone ' '\. Super~is6r License Nu~ber . Expiration Date ,; Constr Contr. Number Expiration'Date Signature of~$upervising Electrician Owners Na~'e.' Eft!/? .~~, "_~/A.TZ" . ('" ~ddre'ss~~i~!!3 .~,.~ ' City ~~ 'Phone 7#-,<:;S~~ OVNER INSTALLATION,. The installaiion is b~in~ mad~ on , prop('!rty lawn which is not intended for' ~ale, lease or 'ren t . ; . , I Ovners. Signature: : . . ' , ~ - j . ' ---------------------------------~-----.. . ", , DA'I:E: ' /"2....~:'I'.~~..., RECEIPT #: '7<-//5'7 . . , RECEIVED BY:, '~~.,." ~" . , , APPLICATION " 9CP/5LS,2- 3. COMPLETE 'FEE 'SCHEDULE BELOV . I A. 'New ,Resi.dential-Single or Multi-Fa~ily pe~ dwelling'~nit. Service Included: Items Sum. Cost' 1000 ,sq.f t., or less' Each,'addi tional 500 sq. ,ft or portion . thereof, . Each Manuf'd H~me or Mod~lar.Dwelling Service or Feeoer $ 85.00.' $ 15.00 - " $'40.00 B.Servi~es or Feeders , . Installation,Alterat~ons or Relocation: ~ '. 2.00 amps or l(;!ss $ 50.00 ; I 201 'amps to 400 ,amp's ' . $ .60.00. 401' amps to 600, amps' . '"$10.0.00 601 amps to 1000 amps $13q.,OO Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Te~porary Services o~ F~eders . _ Insta~lation, Altetation or Relocatiori ' 40.00 . ~o-o 55'.00 80.00 ~ . 20.0, amps' 'or less , ~ $, . 201\ amps to 400 amps .' $ pver 401 to 600 i~ps $ , O~~~. 600 amps. or 1000 vpHs see "B" above " ., . D. . Branch Circui is, :- , ' New, Alt~ration orExtension'P~r Pan~l One Cfrcuit Each Additional Circuit or with S~rvic~ or Feeder ,Permit $ 35.00 $ 2..00. , , E. Miscellaneous (Service/feeder not.,included) -~ach installation. Pump or. irrIgation' . ". $ '40..00 S~grifdutlin~Lighti~g $ 40.00 Limited Energy/Res $ 20~00 LImited' EnergyfComm $ 36.00 ,5. ""'/"60, . , err .J~ . "?l::!jO )..u; , f2 ).!) .SUBTOTA~,OF .ABOVE' 5%'StateSurcharg~ 3% Admini~t~ative Fee TOTAL . ,-.