HomeMy WebLinkAboutPermit Electrical 1996-7-8
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225 FIFTII STREET
SPRINGFIELD, OREGON 97477 /') I "'I c::'
INSPECTION REQUEST: 726-3769 Ci ty Job Number ~l. O() S 1~
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
2 730 ~A-r-.e'WA-Y 57"
LEGAL DESCRIPTION
17-0~- 2-2- -00 102- 'c:>S-
JOB DESCRIPTION
71:1HP. iElb:.. .>>'<V<c:- ,.tQrl. ~".o.nrCtTY
Permits are non-transferable and 'expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor )J'-IJj,et!rT1!::llf) ($"/...c.
Address 3 BY W. -t,,4
Ci ty EL.J ~e-.Jl:'". /).<. Phone----Zvt/-S.r9--i
Supervisor License Number J]J~ S
Expiration Date /o-,/-9S'
Constr Contr. Number ~~32-s")'"
Expiration Date
/-1'- 97
Signature of Supervising Electrician
~ ;{'lftc~"
Ovners Nale' C/~/T tJ/7'y ,~A!".;,s-
Address Q9.rfJ Allt-ytAA.JI' ];>1-
. K'c.I'I-",O
Cl ty ./l1l. ~/AJ/~ Phone
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saie, lease or rent.
Owners Signature:
~~~~~--~-~-~-~~~~-------~-----
RECEIPT #: .n:=:t \""3 ..,. 9: .
RECEIVED BY: -. - -J\..- ~r'1
/ ~ \J
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
SU:;j
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 -L $ 40.00 y'd ..~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" 'above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or \lith 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
$ 40.00
$ 20.00
S 36.00
5.
yo ow
V
;V~~
3~o .
\. ~O
'-I ? ,~()
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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