HomeMy WebLinkAboutPermit Electrical 1996-12-5
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1.
LOCATION OF IN,5TALL{lTION
h()S .sou-11\.. It- ~t-
I ~1j ~E?5P?f~/-=6 00 ()
JpB' D~~CRIP)\ION .
~1 ((JAII:;;; -::/ftY "71'!q/L^-
Permits are non-transt~rable and expIre
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor5A.'fr0s' E'l.-tC.
Address p, 0, 8ox. 1"'5
Ci ty o::xme 97'\3.\ Phone 7 '\-t -0097
Supervisor License Number 409'-\-5
Expiration Date 10 -l- 9 <6
Constr Contr. Number Qb2..'Lo
Expiration Date ;/,- \L\--90
Sign~f ~su~::n~ectrician
o~ner:--:~me La~ 'g~ +'Ia (( D.
Address 505 _~+'^- ~ sc-f
CHY~Y\ v\..J{iZ'Lo(Phone 7L(7- c;r.;/2..
OVNER I~LATION
The installation is being made on
property I o~n which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---;;?--~~-~2:--------------------
RECEIPT 1I: 9.3"770
RECEIVED BY: 1/;'
ELECTRICAL PERMIT APPLICATION
City Job Number 9hl:Jrc ~
---/
3. COMPIJ:TE FEE SCHEDULE BELO\I
A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cos t
Sum
lOOO sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'D~elling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
40l 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
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' "or less
20l amps to 400 amps
Over 40l to 600 amps
Over 600 amps or lOOO
$ 40.00
$ 55.00
$ 80.00
volts see "B~ a~ove
Branch Circuits
."
Ne~, Alteration or Extension Per Panel
~
3 S'. OV
2,07)
$ 35.00
One Circuit
Each Additional
Circuit or ~ith Servicq
or Feeder Permit l
$ 2.00
E.
Miscellaneous (Service/feeder
. -Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
S
$
37, CJ7J
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