HomeMy WebLinkAboutPermit Electrical 1996-4-24
Tbe following project as submitted h.slhe followl .'
z(:.r:ing, end does not require specIfic Innd use
approval. \
~oning, e.. c...;
9747711"" 'f -~ 'f-G'(.:7
726-3769- ~( . City. Job Number ~ '5 ., ;:r
"AU'lnorized Signature ~.
3.' COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
. --,~~ ~"'f!74"UI')!-~ ?T'
LEGAL DESCRIPTION
1?..tI?~.'2'2 ~t::>. d?"'2-/.t:P'7
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
,
. JOB DESCRIPTION /' 'Zk __
~~~~.,~<:.
Permits are non-transferable and expire
, if work is not started within 180 days
of issuance or if work is suspended for
1BO.days.
2. CONTRACTOR INSTALLATION ONLY
'. ,"Electrical Contractor iAl,'.\/No!A. g'dz.~c-
..:~:~ ~
'. .),,_ Address (')""l~ ~W PYO<;i PeLt--oI't1 fk.
'- ::.l.-Ci ~y-r.:;.4..LA-t~ Phone ~o3 6:s ~~~)O~~
~ lcfD--
Supervisor License Number 2.9Z'<
Expira tion Da.te. 'LO - I .- q R
Constr Contr. Number ,<-tlt1tt
"Expiration Date 4-/ -91
, '.-;'
Signature of Supervising Electrician '
~('f'2~ WolJ
I ow~ersWame .~...-:',I'V"5'
I ..:-it; ,Address ~~ 6~~.i~
I ..
11..;, City---.~~ ..,.~ne
OYNER INSTALLATION
The installation is being made on
_pr.~p.E!!"tyI own which is not intended
for sale~ lease or rent.
Owners Signature:
-------------------~------------
DATE:_ q<2>'-('9~
RE~JJ~'J_Jl.; , .2 f:2. ~ '-f
RECEIVED BY: ~~______
'.,1,
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
Items
Cost.
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 I
Over 1000 amps/volts
Reconnect Only
$ 50.00 ~
$ 60.00
$100.00...
$130.00 ryp
$300.00
$ 40.00
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 liB" aoove-
D.
Branch Circuits
--
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit .~& $ 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 '.LLId.~''''
5% 'State. Surcharge ~/~
3% Administrative Fee :3"'1"~ ~
,. nTOTAL --- non__... '.'..---.--.----(!/9SI..:lQ'