HomeMy WebLinkAboutPermit Electrical 1996-3-6
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SPRINGFIELD
Zonill\l1)"\ () rL
225 ut.u STREET Oat. -;3 ~'( "11 ~ HLECTRICAL PERMIT APPLlCA~ION
SPRINGFIELD, OREGON 97477 I 'f' q 5
INSPECTION REQUEST: 726-37691\uthO~rizo?1lg9Plure /'l.-f) City Job Number
OFFICE: 726-3759 ~.V C II .
. 3. eOHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION ~ 1.1/-
~()//"'!~L Lp. /~A-5'~~ A. New ~esidential-Single,or
-, ~ / Hul U-Family per dwelhng uni t.
ION Service Included:
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Z / Installation, Alterations
Electrical Contractor .?A/JL'~() or Relocation:
Address {2-00 r,'/ ~"..- 200 amps or less
__ // -7"7 __201 amps to 400 amps
Ci ty e: "1 C ~,.../ -l Phone?..., S - ~ ~ ~ 401 amps to 600 amps
, , ,,/ __ 601 amps to 1000 amps
Supervisor Licen.se Number 74''Y'-/~.e:.. Over 1000 amps/volts
/ ., Reconnect Only
Expiration Date /tJ 91...
Constr Contr. Number 9'0 ~ 06
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..aOB DESCRVfION / /
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expira tion Date
Signature of Supervising Electrician
./~ ~ c:;
;, own~rs Name-I:J (tCe:' ~,k ZJ /7;- /"
Address, '\11 ~ (I. L \ h '
Ci ty eA~(J..... Phone
OVNER IN ALLATlON
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
DATE~-----~-:1l7~~t27-----,-~-~~---
RECEIPT 1I: ,IJ _ \\\j-.J
RECEIVED BY: CA ~ r
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circui ts
volts
$ 40.00
$ 55.00
$ 80.00
see un"
above
New, Alteration or Extension Per Panel
$ 35,00
Miscellaneous (Service/feeder
-Each installation
. Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
~% State Surcharge
TOTAL
$
2.00
not included)
J
$ 40,00
$ 40.00
$ 20.00
$ 36.00
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