HomeMy WebLinkAboutPermit Electrical 1996-6-7
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. . ~oning. and doe. not require epeclflc Ian
approval.
ZoninQ (l r ,
D'leJa..:..J oct C,
JOB DESCRIPTIO~l 1000 sq.ft. or less
/C,'('(,v.'t ("r ~,rl"o......JI,r '('.,r Jlt:~Tf<4or Each additional 500
" yo sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular, D\oIelling
180 days. Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: '726-3759
97477 Authorlzed Signature
726-3769
1.
LOCATION OF INSTA1-LATION
3':, 20 Go. '1'e """J
LEGAL DESCRIPTION
J 7r?,;; ) 5' no
()Sp O(((:f!\.
/) /2./'5'0
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorC/(OW Uo.((t!"1 F/<!:cff.',
-.J
Address fO. f5elKd-d.-'O-01 ~7r;tl'l-
Ci ty ~UO/!l vJ2. Phone ~'3 ' 'b3 73
'v
Supervisor License Number 3"D',;;l7'-5
Expiration Date /()/q-;
;
Constr Contr. Number qso; It)
Expiration Date 5/q7
~~;~tk:~:UAlS~~ian
Owners Name ~6. ~/5I7L. 0/ MA7r.Jl,
Address
Ci ty
Phone
72& ;... 2552-
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------'-------;:..'7c------------------
DATE: es,ISi)'(,
RECEIPT #: ':L/7f'L~
RECEIVED BY: ~4'f
tiV\
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9'(';;0 7 -=3 Cr:.
3. COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 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
Reconnect 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 Circuits
0'
New, Alteration or Extension Per Panel
L
$ 35.00
One Circuit
Each Additional
Circuit or with Service,
or Feeder Permi t --I--
$ 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 3 ZtJo
5% State Surcharge J,$S-
3% Administrative Fee '~/(
TOTAL 3 '7 .'7("