HomeMy WebLinkAboutPermit Electrical 1996-4-17
The following project as sub ItI
zce;ng, and does nO/ reqUlremsp:~lf~ I';;' 0 lowing
epprova~{f' nir>g '~@~ an use . ._
225 FIFTH STREET. Dut _(~4' ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 97477 e '_ -L::{' .
INSPECTION REQUEST: 726-3769.uth~rlZ9dSlgnature ~ ,l1:ity Job Number 9.5/&J..,4tiP::,
OFFICE: 726-3759 .' - r-L / .' ,
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF Itb~
. ~~~ V I.Jt.V A. New Residential-Single or
. . I . ! Multi-Family per dwelling unit.
LEGAL DESCRIPT~ON Service Included:
/J8t'J2../!:/,"2, ~ /'Jo'7et'J Items' Cost Sum
JOB DESCRIPTION 1000 sq.ft. or less / $ 85.00 ~
<;;:;,:; De~//JD17c.E.., 0~~7J Each additional 500 -r-
,. sq. ft or portion
Permits are non-transferable and expire thereof I ~ $ 15.00 ~
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular. 'Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B.
E1ec trical Con trac tor tJeQIv ~ [leSltlc.
Address P. D. \Sox '1.;9 ~
Ci ty flJ.je,,.,t 91'iCl Phone ']''3 ~ ~ ~50 3
Supervisor License Number ?~Iq 5
Expiration Date Ie -1 - '1 S-
Constr Contr. Number 'lq S"l"l
Expiration Date a -20 - "Ie
Signature of Supervising Electrician
~--L
Owners N'}me ; vw 'JJ l kL
Addrest-'5~ ~'/;)-"j' 7 fin/) Y /jT;
Ci ty~-t=iI Phone_"72 (o-l~2..)
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------------Jr--l\- -------
DATE:_ · '-t 'b'\ q\l.- -)
RECEIPT 11: , \ " .,..{ \l..-...i
RECEIVED BY:--~ ~ J~ F'-- ~ " -
,.,
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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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00;
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
..'~ -
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
~
above
New, Alteration or Extension Per Panel
.'
One Circuit
Each Addi tional
Circuit or wfth Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
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
....
-. ,::.<~~:.:..,..
'2../5.60
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