HomeMy WebLinkAboutPermit Electrical 1996-3-22
The following project as submitted hills the fl;'1
zoning, and does not require spscliic land U~
approva~o ir.~ rl [) (fL
225 FIFTH STREET 5T Z 2/.E- ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Date I t' /1 C 111'\\ /l A..
INSPECTION REQUEST: 729-37~~horizad Signaturo P1/..../ ("j, t:~ Number .:) V\D:J",
OFFICE: 726-3759
1. ~ )~tg o~nro:t~~
\'1b~~ION O~
~eB ~I-T~ \\L~
,
Permits are non-transferable and expire
if vork is not started vithin 180 days'
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor JlAVGt< /HAMtJft!r E(~c.T.
t
Address 3S'~ .s ep,".
Ci ty 5Pf~ Phone 7c.(c.(..",,~
Supervisor License Number "3 S 7, - S
Expiration Date /0 _~S
Constr Contr. Number f1Y2-s
Expiration Date
?,-S..Cflc
Signatur~ ~a:- Electrician
Ovners Nameh' '~
Address1tD ~19~~
Ci ty ~~\~~~tphone ~ ~ \dJli
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~E~-------=~-~GC~\cJ---------~--
RECEIPT #: -, ,~ 4ril?\lfJ
RECEIVED BY: tJ\~ --
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3. COMPLETE FEE SCHEDULE BELO'il
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less \ $ 85.00 PJ..~
Each additional 500
sq. ft or portion 'L &')
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration 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
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
\ $ 40.00 _4{)
$ 55.00
$80.00
volts see "B" 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
$ 35.00
$ 2.00
not included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
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