Loading...
HomeMy WebLinkAboutPermit Electrical 1996-4-26 The following prcoje:::t as m.lbmi'ltoo.l:llr. th~ fQIIQwioQ l,:min~;, ,-'\nd docs not require sp.eclflC !(l,ncllJa~ Gtppro.....ai. Zoni~.J ,L D [L. ,J.,;'-2-1o-1 (P City 'Job Number Cf'00S?; J Authortzad Signature J?VM.PLETE FEE SCHEDULE BELO'W 1. LOCATION OF IN~T4LLA^~ON . --1.flJ (In!',(\T~n'\JY\.ln \ ~ 'L1!ntL. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-37.:6:9a OFFICE: 726-3759 ELECTRICAL PERMIT,APPLICATION LEGAL DESCRIPTION .1 'j ():tJ 2 (Pl/ L/ / c;tI tJ1) Items Cost Sum JOB DESCRIPTIQN . ., . fun ~ Qf\0l(\D , Q M1( ,-L1-. ~ ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling' Service or Feeder $ 85.00 '$ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLYB. Electrical Contractod2 is POo.fl1lli1I~. . ----, I Address P.o,~. ,~g~ . ~ I Ci tY.Jl~~ ~". Phon~ 141-"~~b Supervisor License Number I b g h ~ . Expiration Date ;0 - I-q g , i'i~onstr Contr. Number ()r~~ i}q Expiration Date q-I-qfo 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 I $ 50.00 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amp~~r less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above Signature of Supervising Electrician .4~~ Owners Name \XD-u~ P.Pi\.r\.l.Y Ad dress -.J ~/t Ll~Jtrn.m- ~ \}J) lnlu-at.. Ci t~\'f\~r ~ Lphone 11-.10- bbgq O'WNER IN~ALLATION D. New, Alteration or Extension Per Panel ';,:," One Circuit Each Additional Circuit or with Service or Feeder Permit ~ $ 35.00 $ 2.00 4.0D The installation is being made on property I own which is not intended for sale, lease or rent. 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 5'4.00 5% S ta te Surcharge 1. '7() 3% Administrative Fee I. I/?/)....., TOTAL 5'12. ~ 'l-> Owners Signature: ~~~~~----~/~-=q-~-------------~----- RECEI PT #: L i.L,(") 1 RECEIVED BY: l/t:. '