HomeMy WebLinkAboutPermit Electrical 1996-9-12
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The. fOlln"!!,"!,? Noject as Qubmttted h:lS the following
zortJr,~ .. ::-.;0:;; not require specific land use
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9741:7010._ti 1~.ttV7
726-3769
AuHl(,1] i.:,eo Signature
225 FlITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF IN~~~TION
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Jfl DESCRIPTION
J/1/ft 1f4/f1( - f:.tt(1- (,l~ we~t [j.ev.
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
Electrical Contractor!l-Vh4,;" 6rf1{. f~l1f
Address ?-/N :s fllifJjplA (/...
City G:'/lqfJ1O~ Phone "Jl.fz-I'7(1t
Supervisor License Number L{JS-
Expiration Date !JJ/3-7
Constr Contr. Number &l.{~l f? C.
Expiration Date ! (J/<?!~ ?Jq'.Cf1
Signature of Supervising Electrician
/Po//\ '-- ~
, t/ . D.
Ovners Name G(A.bh4'f .~t~fN,V'J
Address 3~ 0 V r.4~y ~/-
Ci ty >f(r,nf ~(;IJ Phone 7l.i7"" (; lt4l(
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DA~E~------C(~/~~ttT~----------~--~--
RECEIPT jI: - (' I ~171
RECEIVED BY: H) (./ n )
OY)
ELECTRICAL PERMIT APPLICATION
(\lq (l'2S D
City Job Number
3. COMPLETE FEE SCHEDULE BELO\l
A.
Nev Residential-Single or
Multi-Family per dvelling .unit.
Service Included:
It ems Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder $ 40.00
Sum
.B.
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
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 "B" above
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 not included)
-Each installation
Pump or irrigation $ 40.00 ,/f~
Sign/Outline Lighting~ $ 40.00 ~
Limited Energy/Res . $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL