HomeMy WebLinkAboutPermit Electrical 1996-10-30
, '[ ":0 following project c.s sU,bmitlad, ~as the following
toning, and does not reqUire Spe<:ltlC Imnd use
approval., L Df1.--'
, Date ll)ljnJq{~' , '. ' "
9~}~i~~%~ SignatUre i " rn~.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPEctION REQUEST:
OFFICE: 726-3759
,
ELECTRICAL PERMIT APPLICATIO~
Ci; Job Number ?b/3'1b'
3. , COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLAT~ON
~~~ ceEs, L.-JJt
A.
LEG, ALI\~, ESCRIPTION
J!ys/!Aqu~
() JOB DESCRIPTION' ,
DW ~ ~-l6D e.6Ha[)E; t-
Permits are non7transferable and expire
if Vlork is not started VIi thin 180' days
,6f issuance or if Vlork is suspend~d for
180 days.
2. CONTRACTOR INSTALLATION ONLY
, '
,B.
Electrical Contractor~~~~ ~~
Address 3323& CR..1tl& locfJ
Phone9lfJ-1 D'i 0
'Supervisor License Number ~ 7~
Expiration Date /6k/rJ!
, I ~ / '
Constr Contr. Number _ ~~~J1 7'
Expiration Date If;? ilf7
c~
C i t Y 6IJ..DJF,
C.
, ,
Signa~~erViSi
OVlners Nam: b(l{ (
Address! l.~
City ~O_
\
OVNER INSTALLATION
Electrician
~'bo 1 ()
DT Lj-J
D.
Phone
;
,
The installation is being made on
property I OVl~ Vlhieh is not intended
for sale, lease or ren~.
E.
Owners Signature:
----rIP- ----r---------------~----------
DATE. ,,0 -60- G (,d ,
RECEI T #: Od.,l,4>5h",
RECEIVED BY: "
, .
5.
NeVI Residential-Single or
'Multi-Family per dVlelling' unit. '
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'DVlelling
Service or Feeder ' $ 40.00
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,
S 50.00'
$ 60.00
, $100. 00
$130.00
$300.00
$ 40.00
Temporary Services or Feeoers
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over' 600 amps or 1000 volts see "B" above
\
Branch Circuits
,
NeVI, Alteration or
Extension Per Panel
$ 35.00' g5/"
I
One Circuit
, Each Addi tional
Circuit or Vlith ServicJ--
or Feeder Permit ~
2.00
/0
$
Miscellaneous (Service/feeder
-Ea~h installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
, TOTAL
$
$
$
$ 36.00
J/~t/c)
40.00
40.00
20.00