HomeMy WebLinkAboutPermit Electrical 1996-4-10
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SPRt.'ELO
The following project as submitted has D 101
zoning, and does not require spaclflc land unf
approvo!. JJ "II ,1/ J
225 FIFTH STREET ", ~ ,?v/fL-/ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 tl'""{lO.O'-<.-i tc (h .rv\1'.U)
INSPEctION REQUEST: 726:"37ti9.,to (" ( ,City Job Number 4ut J\\..~
OFFICE: 726-3759 /142
AuthorizEtd Signature ~ fe,.i. -
f ~L~ ii~ SCHEDULE BELOV
1. 4iW;rOONrPF ~~T:J:ON ,...., )
~\ )l..\ '-\'or~.\-~~ A. Nell Residential-Single or
\~~PTION~~~ ~~~~~~~a~~~ru~:~:dllelling unit.
~eB ~\d~ f\~ \\ ro
Permits are non-transferable and expire
if 1I0rk is not started IIi thin 180 days
of issuance or if lIork is suspended for
180 days.
!
2. CONTRAcrOR INSTALLATION ONLY
,
Electrical Contractor JB Electric
Address 1786 Ba 1 boa Street
Ci ty Eaaene
Phone 687 - 5770
Supervisor License Number
3R72S
Expiration Date
1n_1_Q"I
..
Constr Contr. Number
84200 ~{.'
Expiration Date
6-22-<1)
Sign~tu~f Supe~ing ~ectrician
, 'tJp./LlJ~
Ollners ~~.ln'~(\ ~D.
Address~n ~ ffi3
City C'\~ PhonelAft-. ml)
OVNER INSTALLATION
The installation is being made on
property I Olin IIhich is not intended
for sale, lease or rent.
Ovners Signature:
Items Cost Sum
1000 sq.ft, or less $ 85.00 Pf5
Each additional 500
sq. ft or portion "" 3)
thereof $ 15.00
Each Manuf'd Home or
Modular Dllelling
Service or Feeder $ "0.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to "00 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
$ "0.00
/
0, .
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less I
201 amps to "00 amps
Over "01 to 600 amps
Over 600 amps or 1000 volts
$ "0.00 4{)
$ 55.00
$ BO.OO
see ItB" above
Branch Circuits
Nell, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or \lith Service
or Feeder Permit
$ 35.00
$ 2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S "0.00
Sign/Outline Lighting S "0.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE ~O
5% State Surcharge 1 I ~
'FOO'kL "3~O ~. \ n~
, \~\tJ- \\.9~AO