HomeMy WebLinkAboutPermit Electrical 1996-6-7
zoning, and does not require SPCClfl; Ia~d use ..
approval. . .
Zonil1Q ~ /. .
Date (j) ,1. Cf (P
1\'\
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERHITrt{PLICATION .
City Job Numb~r ,,\...oD-~ ~
'-01 "-
Authortzed, Signature
97477
726-3769
3.
COMPLETE FEE SCHEDULE BELO~
1.\.0 ~1\TIO~~ ~~S~tf~!\\ce9--
A.. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof .$ 15.00
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder $ 40.00
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.
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Permits ar~on-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor ~fll~rM:) nod
Address ~<tb~ 0 Pf\tr~\ \\\nr\ .
City fA ~U\~ . Phone ~~_o.l .
Supervisor License Number ~WDS
~\\\.G\~
Constr Contr. Number \~1-~
n '~'C\l 0
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
$ 50.00
$ 60..00
$100.00
$130.. 00
$300.00
$ 40.00
Expiration Date
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
200 amps. 'or less
201 amps to 400 amps
Over 401 to 600 amps
O~er 600 amps o~ 1000
$ 40..00
$ 55.00
$ 80.00
volts see "B" above
Signatur~~ci~
. owne~~ ~J;~I,)' _ ~~~nmf5D.
Ad~d-e..s ,<::tl ) (lC(jjf2~tfJ3,
. . , - - - - a. (!; I) AI( ~
C1 Y , Phone J(y- '-l [ V
OVNER INSTALLATION
Branch Circuits
'New, Alteration or Extension Per Panel
3S
\l-fJ
One Circuit $ 35.00
Each Addi tional
Circuit or with Service~
or Feeder Permit ~ $ 2.00
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$
$
$
$
~,. CO .
l\' .
7--,~
f '
4:~."
40.00
40.00
20.00
36.00
Ovners Signature:
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~~~~~----------~--------~-~~~[D----
RECEIPT #: U , 0 1-, C'" ~
RECEIVED BY: (I\\)~ G1T7 0'