HomeMy WebLinkAboutPermit Electrical 1996-8-13
The following project as .ubmitted. ~as the followi
zoning, and does not require specific land use
approval. ' , ,
Zonirl9 L- ~
225 FIFTH STREET D~te ~.\ '0 . q (.p
SPRINGFIELD, OREGON 97477. ~Sl n~re
UlSPECTION REQUEST: 726.!j//'{jgZ&... 9
OfFICE: 726-3759
1.
LA(;oN~w~n~f(l1l
"JV\
i
ELECTRfCAL
'1
CityJ6b Number
PERMIT APPLICATION
,l\ ~n \ Y.J':)
A.
3_ COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
\ rIff)j9f17f\-~Ob\7cD
~J~~.D S~PTIOti\" tJ ~t 1000 s, q. ft. or less
A\~ . !JQ. \[\)\ \J. ~ l~) lL /. . ^ ". :,Z>:~ addi tional. 500
I~~ .lOoft I{'A~~_ ft or portIon
t a on~ah~~~!' a~~ P thereof
if work is not started with~n 180 days Each Manuf'd Home or
of issuanc~ or if work is suspended for Modular 'Dwelling
180 days. . Service or Feeder
Items
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
~ '^V . Y). J'\ +Installation, Alterations
Electrical Contractorl'J..'lP(l7-1f I 'f\. \\W( UeC\ or Relocation: ,
Addres's \)() ~ U \ - ~ . , 200 amps or less
\. "^ \,.. . \\. l4 \0 l11"\/LO ' - 201 amps to 400 amps
Ci tyll.l\ \wf\/\ P. Phone 'llJT() 401 amps to 600 amps
' 'l. 'J.,() Q' 601 amps to 1000 amps
Super~isor_License Number ~~lD~' Over 1000 amps/volts
\~ . \ . Reconnec t Only
Expiration Date \ )
Constr Contr. Number \o.~
Expiration Date
~.\~.
Sign~7ure of Supervising Electrician
~J ;(~XJ.~, '
'owners Namev 'K\\QJ1\~Jtct ~:()COf\'W
Address ~\_Q IJ ~~f\i.ri) _,,'
Ci ty,- h (\ii'r i, . Phone""A1o .\6\C2)~
;~~~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
^.oJ
Owners Signature:
-----------~----~---~-1Ji--------------.
DATE: _ () .1 .
RECEIPT #: ~{I - . 3 ~ "
RECEIVED BY: a-
- '
C.
un it.,
Cost Sum
$ 85.00
-$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
30
Temporary Services or Feeders
Installation, Alteration or Relocation
200 ampg~r less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volEs see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit Or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL-
S 35.00
S 2.00
not included)
$ 40.00.
$ 40.00
S 20_00
S 36.00
51:~
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