HomeMy WebLinkAboutPermit Electrical 1996-6-10
zoning, and does not require specnlc land usa
approvel. .
~\
Dote .1Q.:.I 0 . tl lP_
~
Zonina
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974 f'thoriZed Signature
726-3769
1. \(ff\~ON\ mttcn~IDj
\!l~~~W of)?JJ6
0~ tO~PTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical contPactor~ &(;1.
Address ~\)4....\OU-P..fW'U ..
Ci ty WCW J'\fL. w'one.~: \ l L51
supe~visor \icense Number I.{)'J
Expiration Date to/tt7
Cons tr Con tr. Number \Q4-lnl <6
Expiration Date ~.q q'1
Signature of Supervising Electrician
#,~ ~ ~~/l/
Owners Name ~ f\1\.(L' . et1 figt
Addres'i \()1.-\~ l1rrU
City ~~Wd'L--. Phone l4\4iSl
OllNER I~TALLATION
The installation is being made on
property I ovn which is not intended
tor sale, lease or rent.
Ovners Signature:
~~~~~------[O-:Trq{/;--------~~:,~-----
RECEIn n: l_I.. ~\o 1
RECEIVED BY: l7l1.f ~ .
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ~ \otil <Q ~
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq,ft. or less
Each additional 500
sq: ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
B.
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 Only
$ 85.00
."" $ 15.00
$ 40.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80:00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting \
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
S 2,00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
40,02
;:.! ,v,:,
~",,':m
~
'.