HomeMy WebLinkAboutPermit Electrical 1996-5-23
The fo!J,-....;~.(1 project as submitted has the fc
zoning. ~;; not require specific land us
225 FIFTH STREET approval, ELECTRICAL PERMIT APPL4ATION
SPRINGFIELD, OREGON 97477 Zunino c;::!/ A alto (
INSPEctION REQUEST: 726-3769 =...,., - ",-,,, 'City Job Number ~
OFFICE: 726-3759' Date....r-'-> ~-. y
Authorized Signature 3tJ.be!lPLETE FEE SCHEDULE BELOV
1. \\5"rO~. INA~O~j-
\f\O~~I01-tu~
"
\ J\lII DESCRli'T~ON~
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Permits are non-tran erable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
!
\
2. CONTRACTOR INSTALMTION ONLY B.
Electrical Contracto~ ~
Address\f)l - & ~
Phone 1'f\1). la~
\4~~
Expiration Date l(), \ .CE;
Constr Contr. Number ~~~_
\ Q. . \<A .q4-
City
Number
"
/
Expiration Date
Signature of Supervising Electrician
~ L'A__:<-!',,--
Ovners N~ (' th~~ ~r\)
Address~~~_ W .
ne~,~'~1S3
City
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
=i.;~f;W~-
A.
Nev Residential~Single or
Multi-Family per dwelling unit.
Service Included:
1..!900 sq.ft. or less
L~ach additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration or
$ 40.00
$ 55.00
$ 80.00
see fiB" above
Extension Per Panel
l $ 35.00 }ts~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$
$
$
$
_;.1.,~ OJ {/'Ie:.
- 1./1!;t .v..J
-::fl ,"'0
40.00
40.00
20.00
36.00