HomeMy WebLinkAboutPermit Electrical 1996-2-5
7?c?- .,
~.
~~;( .:
a-'--
The iollc~v!ng pr'~Gc.t &!) nU111Yh~:~";;J l'u;.~ \O';j IO;il:i'!{li,
z.onin~;, ~H1d '::o;;a 11".. r6Cju:r~ ~;:&:=!flc:. lend ut\o
aF;:'io~'e:.
Zoning rif CJ r<-
97477, . --5iC;C;--'
726~~~,~~f.~~q- /lAJ City Job Number ~~
Au""",_,'J S!g""""5~:j::.C0l'1r....,,u,, PEE SCHEDULE BELOII
1. LOCAT~ OF INSTALLATION
.2....4,! . ) ArJ iJ Err E (l f) LL re:l
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTION
J7..eJ>3A"3~C( &>(..V':< '9
,
,1...-
.."" .....'"' .
...........JOB DESCRIPTIOll-,
,,::,,-=-, '? /7" ,0/ ~ _~r=/Z:.?
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor AnT ~prl1rl~v C:::VQ':,ems
Address 1501 Pearl Street. S1l1tp R
Ci ty EUQene. OR
Phone 'i41-14?-1111
Supervisor License Number Rl 777,TJ,"
Expiration Date 10101/Qh
Constr Contr. Number 59944
Expiration Date 04/2Q/Qh
'-Signature of Supervising Electrician
~,(R~
8 NameD".) R rAA.-TEI<-
Address X'~X' [JA.IUETt"" ('(')LL 6
Ci tY~FLI) () e C}Jt/..zJr.one 51/./, '74/. f;/o
mINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: 7~S 7":::
RECEIPT ,: 2.a>::;;>~ SO?
RECEIVED BY: /' ~ ~_~
?
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modu1ar_ 'lNelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to_ 600 amps $100.00
601 amps to 1000 amps $130.00 "
Over 1000 amps/volts $300.00
Reconnect Only $ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
lQ...O.Q
not included)
1
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
LQO
.60
11 1\0