HomeMy WebLinkAboutPermit Electrical 1996-11-1
The f~lIowing,prole~1 as submitted has the following
zoning, and does not roquire ~pecific land use
epprovel.
Zoning 1.1) r1....- , " ' "
Dllio U 1 , fql..P~ ; t1. < , ELECTRICAL PERMIT APPLICATION
9747/ r , ~ IVI /.A/ ' , . '
7';!6lD3'1'6lj3lgnaturo_ 11J~' "l (y Job Number ~/1 /-i.2I,
3. COMPLETE FEE SCHEDULE BELOII
225 FIFTH STREET
SPRINGFIELD; OREGON
INSPEctION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
~ 3 (/.> 6 Vt-r.-l c3t"
I -
LEGAL DESCRIPTION
)~O 2. /)") / 2..
C; ~"80
'JOB DESCRIPTION
r~~"~~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
,Ci ty
Phone
Supervisor License Number
Exp'i ~a t ion Da te
Constr Contr. Number
Expiration Date
Signaf\.1re of. Supervising Electrician
Owners Name -f~ ~'
Address ,/.0 7:) ~,p~~ ',',
City-E,pL',. /JIf. Phone -(6/~eJn?1
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent, _
~21~L .. ....
,-----~------~-------------~--------
DATE:! , J/ -/. - , .c. "-.....~ ' ,
RECEIPT 11: .2. ~ t"~~
RECEIVED BY: ~ff~
A.
New Residential-Single or
Multi-Family per, dwelling unit.
Service' Included: .
It ems Cos t
Sum
1000,'sq.ft. or less
Each additional 500
sq. .it 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
Over 1000 amps/volts
, Reconnec t Only
$ 50.00
$ 60.00
$100.00
$130.00
- $300.00
$' 40.00
C. Temporary Services or Feeders
Installation, 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 Ci rcui ts
.
New, Alteration or Extension Per Panel
O'ne Circui t
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
.. ,
no t included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrati've Fee
TOTAL
$
$
$
$
4/;CJO
~ 2. <h::>
/.2.()
d.. 7 LtJ
I -,