HomeMy WebLinkAboutPermit Electrical 1996-2-20
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225 FIFTH STREET L"!~c20/qk- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 '.. ,j I"
INSPECTION REQUEST: 726_376!i.honl<>d S19nalu",~ Ci ty Job Number fJ 5 / I'J / t'J
OFFICE: 726-3759 r
3. COMPLETE FEE SCHEDULE BELOll
1. LOCATION OF INSTAL~ION
2-5:'2. 7 ~A.rJ) 1'Il?Jll
.
)/?,
LEGAL DE~~TION
I;?"C) 3 0'l9
1
1")0 70 S~ .
JOB DESCRIPTION .
ECCe-r .Afl.c. C/WAc;c
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorG"e.-..a.~ creel
Address 3'1S"4 )/a.~d~ B.... Rd
Ci ty . S/J {: / ci Phone 7'11-25'16
,
Supervisor License Number 4sY .s
Expiration Date /6-/-96
Constr Contr. Number 87J'I5
Expiration Date /J-/O-'1t
Signature of Supervising Electrician
'/10A..~
d .
O,mers Name_';1~.()/r N~ '.<<65
Address
Ci ty Phone ~ s~2t,
OllNER INSTALLATION
The installation is 'being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
l\
---------------------------------------
DATE: '2.../z..oLJ'c,.
. RECEIPT #: '::Zt':Y'F-2-]
RECEIVED BY: /~
A. New Residential-Single or
Multi-Family per dwelling 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 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
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' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see lIB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 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 74:0-0
5% State Surcharge .~.?P
3% Administrative Fee ?L~
TOTAL 7'7J1..