HomeMy WebLinkAboutPermit Electrical 1996-1-2
.
SpAFIELD
The fOllowing project a b
zoning, and does not r: s~ mltted. ~as the following
approval. qUIre specJflc land us:!
Zoning LO~
9740/-;" I -2. -'1lR
7~~7.69J Signature_ f\J M
225 FlITH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
1. LOCATION OF INSTAL~TION
-:2AA'7 Dl)U~ ~
LEGAL DESCRIPTION
1fif1 ~ G.
JOB DESCRIPTION
/1.1 ~ "F'K
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
#)j'FO.J.) ~Lhd.~D
3.zz2 ::u';
Address / .2
~vU
Ci ty h#DJ24<; Phone -..II "7 \- -li} 'J
Supervisor License Number /~~...< ~
Expiration Date /0 -/ -, 7,~
Constr Contr. Number tb"Z?7#S-
Expiration Date '7 - LI -9,\-
Signature of Supervising Electrician
{(pL~~~~~-d~_ D.
Ovners Name ~~'n,;;.AJ ~o ,~c::-,
Address '8"'1 <f 50"3'.J -d d- '
,
City <,p~l"'! Phone 7)..JtJ-/"9~
OVNER INSTALLATION
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
COMPLETE FEE SCHEDULE BELOQ
q9J7~t
$ 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
$ 40.00
$ 55.00
$ 80.00
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 S 40,00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
,B.
Services or Feeders
Installation, Alterations
or Relocation:
A. Nev Residential-Single or
Multi-Family per dvelling uni t,
Service Included:
It ems Cost Sum
1000 sq.ft, or less $ 85.00 ~0.00
Each additional 500
sq. ft or portion {? ~tJ. oi
thereof $ 15.00
Each Manuf'd Home, or
Modular, 'Dvelling
Service or Feeder $ 40,00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~:ll~~~~~~---
RECEIVED BY: .
o
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
200 amps' OOT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
116,01>
'" ,'70
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