HomeMy WebLinkAboutPermit Electrical 1996-10-2
.
.PA.....CF.ELO
The fc:llowing project as submitted has the fol
z0ning, und does not require specific land us
appro,:.vaL
Zonina
225 FIFTH STREET D"'eJ~
SPRINGFIELD. OREGON 9 7 4 77 Il'_"",rized "ign.tur.
INSPECTION REQUEST: 726-376~' ~
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
/9?>9 ~TA'" /fl --::v-.
LEGAL DESCRIPTION
17-&:'"3- ~- y':;? ~ c:?Y':;;:???
JOB DESCRIPTION
Jt17'V~ ~7R '~%~r :zf_..4?
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
(1.
'7\Y\
ELECTRICAL PERMIT APPLICATION
l.1 ty JOO Nwnb'Tr 9.h/2;so
3. COMPLETE FEE SCHEDULE BELOII
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~P\ l~tJ\c\~ fl()r,t
Addiess~~ 0 Pf\\1-'f\\ \\lDd .
Ci ty ~ ti~ Phone M'\JlQQ
Supervisor Rcense Number ~~'::}:(JS
~\\. ~ .
Cons t r Con t r. Number \ '\ fl r::;{)_
1)'~'
Expiration Date
Expiration Date
Signa~eL:;uP:a_:;~
ovtf2'Name~cE~~T - D.
Address /~"'5' 6 - ~ ~.
, .
City ~ ~ Phone?9'/~
r 9?Y7?
OIlNER INSTALLATION
The installation is being made on
property I ovn yhi~h is not intended
for sale, lease or rellt.
Oyners Signature:
--------------------~----------------
DATE: /t/~ '.r?
RECEIPT ~: ': :2 ~ S' 3 r.
RECEIVED BY: ...../~
'~
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dyelling
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
C.
Sum
$ 85.00
'$ 15.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00 :3 5"-
';.=
$ 2.00 '7
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~_ ---
5% Sta te Surcharge I. 75 .
3% Administrative Fee t . /?
TOTAL Y 2' . '/~