HomeMy WebLinkAboutPermit Electrical 1996-9-16
.
.
. .
Tha following pr eel as.u m
zoning, end does not require specific land
appr.oval,
225 FIFTll STREET . L- ~
SPRINGFIELD, OREGON 97477 ZOnlOO
INSPECTION REQUEST: 726-3769.1ote t1 . !llLfliJ
OFFICE: 726-3759
Au\horlzed Signature
.J.
1. ~OFATlO~ 9F. INST41:~TI.9N f\,
I Le:tLmt:U.c....vrr ( V-'11 ~ )
. .
LEGAL_Dl\S~PTION D./ln~
-1'6n..~(Bi-<';"':) LNNU\J j
Lf\fi f{S~~OOmh
Permits are nL\-transferable and'expire
if work is no~started within 180 days
of issuance or if. work is suspenaed for
180 days.
2..' CONTRACTOR INSTAL~TION. ONLY,:, B.
Electrical contractQrrJ\CJ(\\(\~
Address~ .,' '\M'\ ~ r\~
City cr (Qlff\Q.-. Phonel1g. \r;::rO
Supervisor ~cense Number ctL\:j2)
\lJ. \ .c\S
Constr Contr. Number \ r~\~
Expiration Date \~'~'1.~
Expiration Date
Signatur~rvis~ician
Owners ~~ellr.fl1\'( 1. (\), )illi1
Address~4\ I~ XtYx-\Je
Ci ty Phon~4 .a\€"'{
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
--------------~- !1J:-- ----------------
DATE: ~/s lC. '
RECEII'T II: '2 /5' "-
RECEIVED BY: _.d"~
ELECTRICAL
A.
New Residential-Single or
Multi-Family,per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to lOOO amps
Over 1000 amps/volts -----
Reconnect Only
C.
BELOII
Items
uni t,
Cos t Sum
$ 85.00
I
$'15.00
s 40.00ID.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
S 40.00.
S 55.0cr .'
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
CD