Loading...
HomeMy WebLinkAboutPermit Electrical 1996-2-16 ., i -- -:... " ill zoning. and ~ f\~..t ~~ .~ .~. approval. ~w , , ,Z7~'hL!RJ ELEcrRICAL PERMIT AP. PLI,CATION 97477, d I ~ . ,-' C' [)( Q IJ.. 726_376~me, ' V Ci ty Job Number J oR - ) Authorfzed Slr.,;.;."",~17 3 ~ ""4b-!tPrJrrE- ~~t:"""SeHEDULE BELOY 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 L IryI~l~ OMID1r~\_QL, ,r)A~~~~ION \\'dOCJ ~e~rn(lQn~ ~(f)':)8 A. New Residential-Single or , Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less I $ 85.00 <as Each additional 500 sq. ft or portion ~ 45 'thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Permits are non-t~ansferable and expire if work is not started within 180 days of issuance or if,work is suspenoed for 180 days. 2..' CONTRACTOR INSTALJ:1.ION ONLY B. Electrical ContractoC1)(jt1.flS EI..D.~ Addres~ \)~l\). ~ YA Ci ty \hit ~ 0 j\X~~ "Phone 11lo'1~ Supervisor License, Number. ~ '3 5~ Expiration Date \D~ \.~ Constr Contr. Number ~ \0~~1~' \(). R.~ Expiration Date s~s?r~an Owners {Jme \\S'f\ ~ Address c{)\C\~ ~ornr:~ CitY~~ Phone'lt-,ClIo~1 , OYN~~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ' . Services 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 000 amps or 1000 D. Branch Circuits ---- $ 40.00 c1tJ.~ $ 55.00 $ 80.00 see "B" above volts 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 not included) -Each installation Pump 0 r i rriga ti'on $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm, $ 36.00 Owners Signature: DATE: '2-/~'~ RECEIPT 1I: ~4:,~.,: RECEIVED BY: 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL / ?tt:J. O~ S.Se:> I~.~o