HomeMy WebLinkAboutPermit Electrical 1996-4-12 r . . The following project . zoning, and does nol ';" submitted h4sthe 10 approval. squire llpeCif!c iMd u"" Zoning at f)L Data41 2..- Cjt:" 9 7 4 77 Authorized Signature /?/J() 726-3769 I f 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION Of INSTALLATION ~F-6'74 t"5~ ----, lJL LEGAL DESCRIPTION JJiJyo2 ~:1 II t!!) 2- J'!7;F7 r~ JOB DESCRI~ION <;'J/.k6' Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. ELECTRICAL PERMIT APPLICATION .:.,;, Lf-.H>b Number q ~rJ j ~ r 3, COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular, 'Dvelling Service or Feeder Items Cost Sum L-- $ 85.00 ~c)-() ~ $ 15.00 '15:00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders __'-. . 1 fJI.. ~ J ,r Ins talla t ion, Al tera t ions Electrical contract~J1L.<.nf.krnfful~r; Relocation: Address 3/6. ~ i/)nl 0 ,200 amps or less . J' Jfi ' 201 amps to 400 amps City<).aJU~ Phone 7<17 7../J8Y 401 amps to 600 amps , J ',1 - 7 ~7 t$ 17"l 601 amps to' 1000 amps Supervisor Li cense Number 17 5 5' $" Over 1000 amps/vol ts Reconnect Only Expiration Date /o-9~ Constr Contr, Number 770~~. Expiration Date Itl- <11 jJ::1 :;;?Z:;"' "..,,'cl~ Ovners Name Address City Phone 01lNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Ovners Signature: ------------------;r---~-- ------------ DATE: ~//~ '76 RECEIPT #:. ' (Z-~~<;c.k RECEIVED BY: ~~ -( $ 50.00 $ 60.00 $100.00 $130,00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less ~ $ 40.00 ~()O 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 $ 2,00 not included) $ 40,00 $ 40.00 $ 20.00 $ 36,00 J7tJoO ~,,~O ~('O /5'J_;J, e;,c