HomeMy WebLinkAboutPermit Electrical 1996-10-14
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
11,7 W':;:7?-&-~/~~#,( .
1. LOCATION OF INSTALLATION
BU"o~ s S-af eL.-.,..}:(D 1'YLill.l? to f -e.a.+en (J/ ~
f\'€.:x.:r +0 SlA-& '(oLe.. S'503"3
LEGAL DESCRIPTION
JOB DESCRIPTION
Se:f.J.J I (.p Qf'l S~.p c-I .3 5 rYI p)J 5 I 0. ('\ ,
\ U
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
Electrical Contractor LtthTz ~l..rdKl C
Address 3~lQ.~ ~ C~dC\.;,( HI)) S
City~CeCL"~' 1-1111 Phone7;;((p-Dto5 q
Supervisor License Number 3 Lf 9;? S
Expiration Date lOll Jq 8'
Constr Contr. Number 8'-l(,f')C,
Expiration Date '1JJ~Jg(j
s~~~ Electrician
- . ~
Owners Name c/ry ~~ ""'5?~?? "
Address
City Phone
OVNER INSTALLATION
The installation is being made on
'property lawn which is not intended
for sale, lease or rent.
Owners Signature:
DATE: /b-/Y'9C-
RECEIPT #: 2"?YC 7
RECEIVED BY: . '1"7 _~_" ,-
~ .T.-
:>,.., IIN\...'. II.;.LU
Ci ty job Number qC /3'93'
3. COMPLETE FEE SCHEDULE ~ELO\l
A. New Residential~Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
,sq. ft or portion
thereof
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less /
201 amps to 400 amps
401 am~s to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50. co
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 "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
$ 35.00
$ 2.00 doOO
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 6;(. 00
5% State Surcharge ? C6
TOTAL /. S~
.;?6~ /~