HomeMy WebLinkAboutPermit Electrical 1996-1-2
-e
SpAF'ELD
The fOlloWing ,
Zoning and d prOject as submitted h
approv~J, oas not require specifl'cn...," the following
and Use
ZOning_ LD/J,
Cate, .' - 2.-1k
97 'AUncri'fi<i S' J I "A
726-376'J 'gnsture f'J ,-,
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. J,.QCATI~ OF INSTALLATION
~JT -, \ 1Jol.X:.U'6 Dfl..,
LEGAL DESCRIPTION
L.:1\(p,
JOB DESCRIPTION
/LI ~ FZ
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
ELECl'RICAL PERMIT APPLICATION
City Job Number
3, COMPLETE FEE SCHEDULE BELOII
Q50 7;;'Q
A. Nev Residential-Single or
Multi-Family per dvelling uni t,
Service Included:
It ems Cost Sum
1000 sq. ft. or less $ 85.00 ~0. ,v
Each additional 500
sq. ft or portion 'V ~
thereof $ 15.00
Each Manuf'd Home, or
Modular, Dvelling
Service or Feeder $ 40.00
Electrical Contractor
#l.b"..t,J ~d-.~o
3A22 5/;
Address 1.2
~ 0..1
Ci ty ,A.t#1)f2,4<; Phone.LJ 7 \- - .J..) } 't
Supervisor License Number /dJ <::J::>~~
Expiration Date /0 - / ~ <;,'
Constr Contr. Number 6$ 7~S-
Expiration Date '7 - L/ -9~-
Signature of Supervising Electrician
-!?/~/ ,-,~A"'~~\ D.
Ovners Name .1/ ~ l>A.A..I Ed ,;::r -vc-,
Add ress '5'7 t s, '5;.l d s:>;" ,
City <;.?pL.,) Phone '7)..JtJ -/"'9~
OIlNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
---------------\-l-~~---~-----------~
DATE: ~ M:t
RECEIPT 11: ' . _ \\:\l
RECEIVED BY: \~'L."\\(l -
,B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
200 amps' oor 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
.'
Nev, Alteration or Extension Per Panel
$ 35.00
$ 2.00
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
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
Branch Circuits
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
llt?Oll ,
?.' - II-?
n.~
1V{,q)J