HomeMy WebLinkAboutPermit Electrical 1996-5-14
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zoning. and oe~
approval.. .JJJ \2---
Zoning
97477 ~ liJlCJ~
7262J'f~ -AI
Authorized blgoatUre
3.
2. ~~CTOR INST~:~~ O~Y B. Services or Feeders
/'{C'ctu# 1tP'~/" ~~-?k ';:>Installation, Alterations
Electrical Contl'act //J' &/ ~l-?:1.;. or Relocation:
/;?;~ 5 . '~~t/7~
City.9.&f Phone 7v/-7cfrf.5
Supervisor License Number
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALL4~ON L~ _
/2->7 I~//~
LEGAL DESCRIPTION
/703 3,-+;;l~ 00 d'J-%
~~CRI~
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
Address
Expiration Date
Constr Contr. Number
Expiration Date /2-/ C; c;
,. Signature ~perViSing
(lbM,-;> / ~ '
~ Name. ~YnW P5~/J;f/;?- D.
Address ~75 A5PGJ,.) ~'5TJ?.-h3-r
Ci ty 6o/?~ Phone 7Lt'/ - '1&~5
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
tor sale, lease or rent.
Ovners Signature:
-------~7------------------------------
DATE:.S//~I 7Y' .
RECEIPT' #:U2..15q~.<,
RECEIVED BY: 4. /)1,..;) ah cU:U.1
ELECTRICAL PERMIT APPLICATION
Bll9Job Number
~~tlC/f/O
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less S 85.00
Each additional 500
sq. it or port ion
thereof .,.,. S l5.00
Each Manuf'd Home. or
Modular 'Dyelling
Service or Feeder S 40.00
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' 'or less 1_ $ 40.00 $t2..t7'O
201 amps to 400 amps $ 55.00
Over 40l to 600 amps $ 80:00
Over 600 amps or 1000 volts see "B" above
'.
Branch Circuits
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
S 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$
$
S
$
cfO .6V
~ . cro
/. :J-(J
LA <, . :.}v
'.
40.00
40.00
20.00
36.00