HomeMy WebLinkAboutPermit Electrical 1996-4-17
Tl10 following projoct !IS GubmJt1ed has tho followIng
zoninrj, and does not roquire &pOCific ~nd U&Q
225 FIFTH STREET appro"./' . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoni"" dLJu ~\ rY\,'AO
INSPECTION REQUEST: 726-37691{ (7-C/~ City Job Number '-'\ Ot l\.
OFFICE: 726-3759 0"10' -(
- ,I\u>horized Slgnatu", 3~PLETE FEE SCHEDULE BELOIl
1. WW~N ~,~STAL~ ' I
\~, \ .c:;r(\ N\ ). A. New Residential-Single or
-- Multi-Family per dwelling unit.
Service Included:
J:L~~~n~
~~~~~~O~~ > ?'l.23
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Elect~ical Contractor beQIv ~ fleSIt,c.
Address F. D. ~D;t '1.;g ~
Ci ty fU1llVt "ll~C'l. Phone '1'3 ~ - <;'30 j
Supervisor License Number ?~I~ 5
Expiration Date IO-I-~S'"
Constr Contr. Number 9q S"i"l
1000 sq.ft. or less
Each additional 500
sq. ft or portion ~
thereof '. --.,.,L
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' 1000 amps
Over 1000 amps/volts
Reconnect OnIy
Items .
Cost Sum
$ 85.00 .P5
$ 15.00 ~~
$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00:
C. Temporar~ Services or Feeders
Installation, Alteration or Relocation
Expiration Date a - 20 - <!l:
Signature of Supervising Electrician
~-L.;
Owners Name ('1&-\ ,~U" Q!?-~~l\.Q.., D.
Address Pi\["~\ \..~ ~ ,
Ci ty ~9A- Phone'1\:\ Q\QlS
OIlNER I~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:_ . '/.....O.~
,..:,\,r.J.r. lI: -;:z / /~ ...3
RECEIVED BY: r ~___ .
'"
j.... .
:~~:: '~.::.-
..,"
200 amps' 'OT less
201 amps to' 400 amps
Over 401 to 600 amps
Over 600 amps or 100U volts
...,.... -
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
". .:: '.~:.C:"..._'
.......... .
$ 35.00
$ 2.00
not included)
$
$
$
$
/3D,c:no
a;::.J~
?5lO
/"/0 ~
40.00
40.00
20.00
36.00