HomeMy WebLinkAboutPermit Electrical 1996-12-27
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SPRINGFIELD
"
. . ubmitted has the 10llowing
The 1ollowlng proJec\ a:q& uire specinc land use
zoning. and does no r
approval. (2,
225 FrITH STREET Zonino /.; ()
SPRINGFIELD, OREGON 97477 11 f)~I~~
INSPECTION REQUEST: 7;)6~~-IV'r-" '/YtJ
OFFICE: 726-3759 Authorized SignatUle l\A
3.
1.
40~IION Or INST~LATION
(Ol5.:io<,~ V V -;:;-r
I
IfFtb~B~fl1!3~7 OlJ
JOB DES~PTION''''
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ED HIt,-,,-~
Address 37370 ("4..... CreC,E
Cl'ty S-or~ . UR.71/0-Lf7i{>t.i
r IV Phone" ..tv-7o'-fd
Supervisor License Number 35 "77- S
Expit;ation Date
IQ-(-C,g
Constr Contr. Number~'2~ q
Expiration Date
~- 1- 9 f
ELECTRICAL PERMIT APPLICATIONj
Cit)' Job NUIIlber3MOOL
I
COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
Cost Sum
$ 85.00 tOt:;
$ 15.00 112
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
---1-
Z--
$ 40.00
$ 55.00
$80.00
see "B" above
Signature of Supervising Electrician
:P' &t d4,,#, '
Ovners Name Mlf.Jtouj ~dv -llia..~Branch Circuits
Address I_d-- 0Z- Ca-rt~V1rCt-ll 131 VC-{l Nev, Alteration or Extension Per Panel
Ci tyg9)1~fjil,I.a1Phone 7 ~/fl-?jYl9( ~:~h c~~~~~~onal S 35.00
Circuit or vith Service
OYNER I S ALLATION or Feeder Permit S 2.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~E~--/2~-7---21(;---;;~.-.;ba, -----~,---
....".....roTYVr .II. ot:.
,B. Services or Feeders
Installation, Alterations
CJr 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
200 amps' 'OT less
201 amps to 400 amps
,Over 401 to 600 amps
Over 600 amps or 1000 volts
E. Miscellaneous (Service/feeder not included)
-Each installation -
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE lIe; .Of)
5% State Surcharge 5,7(
1:1: Anministrative Fee ~#C I'HI '7r....