HomeMy WebLinkAboutPermit Electrical 1996-9-13
.GF;IELD .........'.
The fcl!owiilg nl;.ol~c~ as $ubmftted t\oo.$ the f~lowin
zoning: and doeS not n)quire spGcific land usa
approval.
Z~ni;>o . L-175'l.--
n., 0 cr-- \'0 --ql; . ELECTRICAL PERMIT APPLICATION
97477
72At.;lJl'1~ Slgnature~ ~ Job Number <7~ /2..~
3~ COMPLETE FEE 'SCHEDULE' BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE:' 726-3759
1. ' LOCATION OF INS,TAL, LATIOJi .
77 ~ 0J1<TA-1Y~~ /<-V~
LEGAL DESCRIPTION
/'?-r:>":r- -:r~-/2 _ 1//btP
, "
. JOB.DESCRIPTION
~":~ d..,n 4;:lY'"b'/''''--~ ~r7PP
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended. for
180 days.
2. . CONTRACTOR INSTALLATION ONLY
E,lectrical Contractor ()wne.v--
Address 7;z.t:, .GraYl;-tp
City' S~z:,
Phone
Supervisor License Number
Expiration' Date
__ A. Nev' Residential-Single or
Multi-Family per'dvelling unit,
. Service Included:
Items Cost
Sum
1000 sq.ft. .or less
Each additional 500'
sq. ft or portion
thereof
Each Manuf'd Home. or
'Modular. 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
'B. Services or Feeders
~nstallation, 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 ~c;r
$ 60.00
$100,00
$130,00
$300.00
. $ 40.00
. I C. Temporary Services or Feeders
Ins t'allat ion, Alteration or Relocation
Constr Contr. Number
Expiration Da.te
Signature' of Supervising Electrician
. .Ovners Name ~A'v/.n C~~
Address /"2b'SA~#~/?E ~C. .
City --5~L)') Phone ?~/7"6
OVNER'INSTALLATION
The installation is being made' on
property I ovn vhich.is not intended
.' for sale, lease' or ren t.
Ovners Signature:
/7 e~~~A
fJ-~u {fZ ~~,
--' .
---------------------------------------'
DATE: . 9:/2-~'
Lili\AUPT II: ~ / '7 "=? . ;
,RECEIVED BY:' ./7.4~ .
. ./..1
D.
200 amps' 'or less
201 amps to'400 amps
'Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
Nev, Alteration or Extension Per Panel
One Cir.cuit ~$ 35.00
Each Additional
'Circuit or vith Service
or ~eeder Permit . 1$ 2.00 2-
.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 ~"2.-~
5% State Surcharge '"2 ,c:::~
'3% Administrative Fee / ;~t.?
TOTAr. '5"'t:;. __ ,;.