HomeMy WebLinkAboutPermit Electrical 1996-5-28
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SPRINGFIELD
TIw follov~ng project as submitted has the
zonjrl~.1, and does not require speciflc lend
225 FIl'TU STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L b !2-- (\ \ "i'\nt-\c-J
INSPECTION REOUEST: 726-376%.:0 ~ I ~I 0, b Ci ty Job Number V\ \Yl) 1)7)
OFFICE: 726-3759 ,----I" L
Authorized Signature 3"" ~PLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION "" , .
j'rdl.J ..;r;.s/'f'</l.. /C',t} A. Nev Residential-Single or
t//9/Vp""er'ae- ".....,,,n.Y<'n..h Multi-Family per dvelling unit.
~EGAL D~SCRIPTIO~r.r~>- / Service Included:
'X0'2.nloI3 (.Tn LLJ Items Cos t Sum
S 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
, Modular Dvelling
Service or Feeder
JOB DESCRIPTION '
./'.h/Z.r/OG6" ,;- ~/r-6;r /'?/f'?P
vv r_ /-/ Ti<.
Permi lS are non-transferable .and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
lRO days.
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ABLE ELECTRIC
, $ 50. 00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
ilddress 5511 MAIN
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
Ci ty SPRINGFIELD Phone 726-6701
Supervisor License Number 30235
!::':piration Date 10-1-96
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number 92506
7-16-9~
$ 40.00
$ 55.00
$ 80.00
see "B" above.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
E>:piration Date
Signature of Supervising Electrician
~/.r
.... ~
:_~
/ .......
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Branch Circuits
D.
/s' F ...k/V' F"7
Ulolllcrs Nallle /(F"'/
Nev, Alteration or Extension Per Panel
,
Address :J.r" 5 .;"" s/ ~/>... ".; L?
Ci ty .5' /" fi.t7 PhoneS" 1'/ ;7 Yl /.5'0')
One Circuit / $ 35.00; 35:0lJ
Each Addi tional '. ..
Circuit or vith Service ~,otJ:
or Feeder Permit ::z.. S 2.00
OIlNEH INSTALLATION
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40:00.
Limi ted Energy/Res S 20',.eO
Limited Energy/Comm $ 36~00
The installation is being made on'
property I Ololn IoIhich is not intended
[or sale, lease or ren t.
Ovners Signature:
jL /.0 i7
'2.p5
/.::>...3
VoY:.., r
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~~TE;----------------:~~15?~~TI.7----
RECEIPT ff: I J _ _ (\ \ ~..J.-7L..L.
RECEIVED nY:~j LA\~ l~