HomeMy WebLinkAboutPermit Electrical 1996-8-6
.
.
SPRINGFIELD
zoning, and does no r
eppfoval. 'P
Zoni"" tv\~, )
O~ta_<j('1 . Gj LJ
futhonzed SlgnatUre_
9747
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
?L//~?1'r.:? /.....~td---~P C;'Z>-
LEGAL DESCRIPTION
/')~...::ez-'"'3o/. ~~
~~ DESCRI~ION
/ C;.~~ / ;...........,
~F"".A-
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~~.N' ~J""~'
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name jil/L.L U~t;-
Address ~fB7::ZB ~/ ~ ~.
,. IV
Ci ty ~ Phone ~'l'S2~
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
I~~~
------------~~-----------------
DATE: ::g .
RECEIPT II:. 'O:Z:2..7fZ'2-
RECEIVED BY: ':< ~ "" __ -
7lvI. ----~~~.~CAL PERMIT APPLICATION
City Job Number
9~h:7--="
3. COMPLETE FEE SCHEDULE BELO\l
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less ~ $ 40.00 ~-
201 amps to 400 amps $ 55.00 ,
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see tlB" above
D. Branch Circuits
.
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
S 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
YLP. -,p
'?--
/ . 2<f>
~.20