HomeMy WebLinkAboutPermit Electrical 1996-2-8
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97i/Jtpr';z&d Signature p
726-3769
200 amps' 'or less
201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
J.4rl/ttd&--, Over 600 amps or 1000
,- .\, ./Jb7//lI.5 WA,e.TClI~Branch Circuits
Olo'ners Name '&Cilf'i It,~l 1'6- '.'.5
~'6-.~ 6r12-~ P Vf;:,r,k
Address iJ r] 7'{:., ,/~.r /~, "\, ;-
~f)R W1(, Pi (;'/"-0 .
Ci ty lr( il C~ Phone 'i..::J 'l ~~ "7 '7
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
- ~~7STJr 0!f2~IfjI<jJ; ~77'1
/7 LE~ DESCRIPTION 05
03 ';2 Lf t)OfJn7
JOB DESCRIPTION
J'tl/A.-r. IIII:rl'~
Permits are non-transferable and expire
if Io'ork is not started Io'ithin 180 days
of issuance or if Io'ork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor MtI'O:"'1"~,~ ;[1:l(J;
Address ')./ yO lrI / / t:h .) v,-h. ).U(J
Ci ty E 1/9 '!h e..
Phone
~ eJ-n( ~
1(/1 7]fJ
Supervisor License Number
)./ r 9
Constr Contro Number 7~ 31t
'J-/CJ7
Expiration Date
Expiration Date
OYNER INSTALLATION
The installation is being made on
property I olo'n Io'hich is not intended
for sale, lease or rent.
Owners Signature:
~\
DATE~~~~;1~---------------------
RECEIPT iI: O.!-V5k-/ , "
RECEIVED BY: !....), rYI "JCI1C1-~
etECTRICAL PERMIT APPLICATION
Ci ty Job Number qS jO /0
3. COMPLETE FEE SCHEDULE BELOII
A. Nelo' Residential-Single or
Multi-Family per dlo'elling
Service Included:
uni t.
Cost Sum
$ 85.00
'$ 15.00
$ 40.00
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home. or
Modular .DIo'elling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
. or Reloca t ion:
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
$ 40.00
$ 55.00
$ 80.00
volts see fIB" above
Nelo', Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or Io'ith Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00 tfO
Limi ted Energy/Res ,r- $ 20.00 ;?().
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE :?O . <!'>
5% State Surcharge I . U v
3% Administrative Fee . CL 0
TOTAL .bl ,;)../. V 0