HomeMy WebLinkAboutPermit Electrical 1996-2-29
.
~J.Je..-
.'
SPRINGFIELD
b mad has th9 10110
Thp, ~o\lo\'J\ng prc1actt~~;~ir:' specific land use
. and does no ',,",
zon"'~J, . ELECTRICAL PERMIT APPLICATION
97477 appro",,!. C ~ n( (I 5
726-3769 5~:or -= 4,,0 City Job Number -t rJ Loj
O~~ ~
"PI !>TV YRg 1;CHEDULE BELOV
1. LOCATION OF INSTALLATION,horizad Signatur.
'1.3'7 '--11. 1tsJ- .5:.n.t-d- A. ew Residential-Single or
v" Multi-Family per dwelling unit.
I LE~ DESCRIP1IqN 5a. Service Included:
/ n'-', ,~~.:31 0 (j()
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB DESCRIPTION
J'h~~/,';?) tJ, A-t/diJ/l?n1" ~Ut~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
20- :zzO~
Electrical contractorl!b1f-<<.l'f!~ 1t1;::t:>
Address I.:J-o ~
Ci ty ~_ {)r Phone..3./II -,jS- {. /
Supervisor Licen.se Number /09;;J. S
Expiration Date /D-/- q~
Cons t r Con tr. Number 90.2 !flJ
.,
Expiration Date
.,;1-)7- 90
Signature of Supervising Electrician
Jt O"L_../ ~: . A./~
~ . 0
Owners Name ')nf!..(~'-'-' ~
(j
Address f. D t3 tr/ to 40
.
City P/'h1-UlA<.1 J/.u/ Phone . 1ft!- fFfl.5'
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~g;~?;~~;~-------~--=----
RECEIVED B~:'ll .' 1 YVtrJ/L6:, v:>
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
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps / $ 60.00 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5..
SUBTOTAL OF ABOVE
~State Surcharge~
TOTAL .
$ 35.00
$ 2.00 ioo
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~ 1. n)
,5. /Q2..
/..q. /.;J...