HomeMy WebLinkAboutPermit Electrical 1996-10-9
zoning, and does not requir~ specifi~.la~d use- .
approval.. .
225 r-J.1'Ul .)l!\UoJ. Zonina ~U
SPRINGFIELD, OREGON 974n...._. 1 -..
INSPECTION REQUEST: 726~l1t....- ~
OFFICE.: 726-3759 Authorized SIgnature fJf\A..
3. COHPLr.u. FEE S\.ar.uULB BELaV
1. LOCATION OF INSTAT.T.ATION
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ELECTRICAL pJmKrr APPLICATION
City Job Number ex. lQ \o1()
New Residential-Single or
Hulti-Familyper dwelling unit.
Service Included:
A.
JOB DESCRIr J..J.ON .. 1000 sq. ft. or less
l(~f /J(1/1 1#/. feyad..r.f ~ '-ha.#l,,-A~t0t.e~ Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
-180 days.
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRAC!OR INSTALLATION ONLY B. Services or Feeders
. Installation,. Alterations or
Electrical Contractor,iJr~f1tf~;?~-,,~ &.Relocation:
()
Address -PI} lj/lJ( C:Z7b5
CitYW?f1..-J Phone b:fb~Rhl2-
Supervisor License Number .3~L/{):s
Expiration Date /0/1 /9f'
Constr Contr. Number .3t'70;:L
Expiration Date ),;l/~I/~t.,
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.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Si~~~U~;;ViSing Electrician Oovveerr 460001 to 600 amps $ 80.00
~ amps or 1000 volts see "B" above
\. D. Branch Circui ts
Own rs Name]i-1-at;~'/J7lt10.IILJb;h ~7zul'qoNeu
trNEw, Alteration or Extension Per Panel
Address fJ IJ & V ..:JIB I
4Jy tJ1..9--0.?
Ci ty ~{~./ Phone
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
One Ci.rcui t
Each Additional
Circuit or with/Service
or Feeder Permit _~
/
~5 00
$ 35.00
$ 2.00
R, O~D
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
Owners Signature:
DATE: \ \ ) . q '(:\.0 - ... "'"L.\-f\ - t( 1(\
RECEIPT t: If U .~~- tJ'. )
. RE,-tAJ.vt.u BY: ~L~J~;;/.-
5. SUBTOTAL OF ABOVE
54 State Surcharge
3% City
TOTAL
L/3~2Q
DL,IS
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