HomeMy WebLinkAboutPermit Electrical 1996-3-5
.-.'.
.
.-
SPRINGFIELD
. submitted ha9 the 101
The following preiectol"~1)ir spaclflc land u
zoning, and does n r........,
opproval.. - j f2-,;
zonlr't9-..-0 -
225 FIFTH STREET 3 , <. I Q I -
SPRINGFIELD, OREGON 97477 Date I """t"l 'fI ~
INSPECTION REQUEST: 726-37<j..9uthorizedSlgnelUre l' I "::J ';vtrNUJIlber~2'9~
OFFICE: 726-3759
3.
1. LpCATION OF INSTALLATION
54- 3 5 I-l-loiu ~~ IV ~ 01, .
(j
LEGAL DESCRIPTION .
J7.t)-z.''26'~'" ~~ -
..- . ~ .-
ELECTRICAL PERMIT APPLICATION
COMPLETE FEE SCHEDULE BELOY
A, Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
JOB DESCRIPTION
I' ){"IUJ lMH\, luf\..lY\O f\ <L.J
,U If
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 Contl!actor..c...t8 ",Qorrtrt.J n ',\1mc-,
Address p. {), e~
Ci t~O ~ rt, Phone 'lift -1-.1-.3fo
sup;rv1isor fiUcense Number / b zto $,
Expiration Date IO-I-qSl
Cons t r Con t r. Number ()!{ $I tJ-q
Expiration Date q -1- q h
Si~re ,of Supervising Electrician
~~/L ~r~-1!',/
o~ners Nam~ fut~; l &lAt~QffifYl j
Address~43~ ~"'(l'\~n, Qol.
CitY~~(\jlflf\.r~~J-, Phone..1.~b- ~'7M
01lNER I~TALLATION
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE: '?~7?.s::::--,-----
RECEIPT *: ~a ~
PPf""VTlmn R'V.
,..- ..;c. ., ~ J"_.-&.-
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
Serv.ice or Feeder
B.
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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installa~ion., Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80:00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
.-
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E,
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 5iliQ.D
$ 2.00
not'included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.~5,DD
L'1~
I. Q5
_~rt, 'i2D