HomeMy WebLinkAboutPermit Electrical 1996-10-23
.
. Tho foll.)wing project as submitted h~s the following
ZGni:"I'ri, G.na GOeS net require specific'land usa
approval . . .
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225 FIFTH STREET Onte ,,[0/1-3 -~" ,
'SPRINGFIELD, OREGON9T4//
INSPECTION REQUES'j;:thoI7.:2'6.sB;76~i. iJ . r1'\.
OFFICE: 726-3759 ' ,
1,
, .
LOCATION OF INSTAL~TION
4j I ;-f~MLd
LEGAL DESCRIPTION
/703 ;;J;;;J.,~L-I
() 7.s0 c>
" -!.9B !lESCRIPTION '
~/JF? 'F,,::::?d;/:r/AV/~
',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.
,ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q Cp I 4 Lf [(
3. COMPLETE FEE SCHEDULE'BELOV
, A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq:f~. or less
Each additional 500,
sq.' ft or portio~
thereof
Each Manuf'd Home, or
'Modular'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. ' CONTRACTOR INSTALLATION ONLY. B., Services or Feeders
Installation, Alterations
Electrical Contl'actor/~ ,:.,.:::;;-~~~ or Relocation:'
Address~X :.,~
Ci ty ~ A'E:lIJ Phone <...a 1- ~ -&$1
Supervisor ,License Number ~? ~~"\_
Expiration Date
//? "- 9A'
Constr Cont~. Number~~~~~
Expiration Date
7-~7
Sif?2~/7~;~
Ovners Name "7 -J 1 '
Address 4/1 .Jj~~///
,Ci ty _<~;p/..( ~S.tJrhone7~t:,- ~.'";.a:...-
,01lNER INSTALLATION
,The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
)
-----~-[?\-----------------------------
DATE: U .... 2:':J..,q u' ,
RECEIPT #: :zii5<fii;-
RECEIVED BY:.I\ . r./\J}c.( IN;.),,u
200 amps'or less
201 amps,to 400 amps
401 amps to 600 amps
601 amps to 1060 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Instaliation, Alteration or .Relocation
,200 amps' 'or less $ 40.00
201 amps to 400 amps $,55.00
Over 401 to 600 amps $ 80:00
bver 600 amps or 1000 volts see "B" above
D.
Branch Circuits
, ,
Ne~, Alteration or Extension Per Panel
One Circuit J $ 35.00 ~S:m
Each Addi tional
Circui t or vith Service
or Feeder Permit " -S- $ 2.00 ~.t!!l?
E. Miscellkneous, (Service/feeder not inciuded)
-Each installation
Pump or ,irrigation $ 40.00
',SignlOutline Lighting $ 40.00
Limited Energy~Res $ 20.00
Limited EnergylComm $ 36.00
, , ,
5. SUBTOTAL OF ABOVE
5% State Surcharge
3%,Administrative. Fee
TOTAL
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