HomeMy WebLinkAboutPermit Electrical 1996-9-23
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S.P~-~INGJ"'lt::LO
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
"^ . Q Installation, Alterations
Electrical contractorlll~() 1-.J~~V)or Relocation:
Address ~oLj:\~ ~ . 200 amps or less
~. j\,1 ~ 20l amps to 400 amps
Ci tyU lQ.Q,\M (JlR Phone -:::>4CJ- -I 'We; 401 amps to 600 amps
..J I 4 c::- 60l amps to lOOO amps
Supervisor License Number ~~ Over lOOO amps/volts
. /qY7 Reconnec t Only
Expiration Date (()/,. (
Constr Con tr. NumberLD~ LDIl5!gn -33C/...5 C.
Expiration Date 3/ q1 f
Th~ () nv. t. '\'\ .' + ot require Gpecl1lC
7 1.U' _.,-.: ....~.5 n
ei-~;)Il..":;'l.. tl
Zonlna ~-
1)"02CI A-.Q to fM
225 FIFTH STREET
SPRINGFIELD, OREGON 974'7-7\0,jZed SlgnaWr<I
INSPECTION REQUEST: 726-3769
OFFILA-y-'~3:;'9 e,iq a Tot (
l. LOCATION OF INSTiLLATION
r:=in~ Sou..J..ln 14 ':SW~
I,~L DE~IpN
\ In?>.~-') \
\?:f)CO
J~. B~P~C PTION
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Permits ar non-transferable and expire
if work is not started within l80 days
of issuance or if work is suspended for
l80 days.
Signatu~~er~::~ctrician
Owners N~me-La~5 ~~. ~TCJI-la~'+
- ~-(rJn
Address F){Y5 ~'lH.t1 ff '.U:t
Ci ty 5,oil7f'ttd/)jg;hOneB-lI-iLn- qL{ Id-.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~:~-:~--~-j--C(-,:L?~({l~--~--
RECEIVED BY: \ i\t,hv~ ~
~RICAL PERMIT APPLICATION
Ci ty Job Number Q\ 0 \tlt.::rJ
3.
COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
lOOO sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Fee~er
$ 85.00
$ l5.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
.'
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 or irrigation $ 40.00
Sign/Outline Lighting ~ $ 40.00 ~(').{)O
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE Ao .00
5% State Surcharge Y.O 0
3% Administrative Fee 4.L/Q
TOTAL ~(o, L/ 0