HomeMy WebLinkAboutPermit Electrical 1996-11-18
_.~.
--.
.-
The. following project <I. ^ b . ..
zoning, and does not r; ..u. mmed,,~s the fOllowing
approval. qUire SPachlC le,nd use
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON 97~T7
INSPECTION REQUEST: ' 7~~a'"l69 Signatu,"
OFFICE: 726-3759
1. ~OION~l}f~
LEGAL DESCRIPTION
G)(2~d~~~~ (rtfCOf\rltCi)
Permits are no~ns~ e and expire
if york is not starte~~in 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
ElectriFf1 Contractor ~ q ~
Address-\( . O. :BOY: 14~:::+"
Cit~-1~ne
Supervisor L~e Number
.8.
<;OjC}-.
Expiration Date
72(; -~').3lf
\ lo'~(o 5
\0 - \-0..,
Constr Contr. Number 03>~L\Oj
Expiration Date q - 1-9.)<.
Signature of Supervising Electrician
~c7 ~~
- /(/
Ovners Name ODo '"\
A~S. C~~~;:::;cl_^- ~~
Ci t~\~~~hone72-~-2.S52-
OVNE~ INS~TION
The installation is being made on
property 1 own which is no't intended
for sale, lease or rent.
Owners Signature:
DA~E~~\\--\~~-c;-C~----~:;cr~-------
RECEIPT 11: r!.. . Jt) v ....J
RECEIVED BY: \ '\ . In'C"C'~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q ~.I 55').
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
1000 sq. ft. or less. $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
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
Reconnec t Only r
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 ----L.
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 "BIf 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
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
40 .51:>
;:,) . rSV
I . '2lt:>
'f~. ~')
40.00
40.00
20.00
36.00