HomeMy WebLinkAboutPermit Electrical 1996-4-2
Th. following project as oubmllted haa the following
zoning, and doe. no! require speclflc I.o.nd use
approval.. ~ tU 1
225 FIFTH STREET '-/ ELECTRICAL pERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlna (), loOI} rn
INSPECTION REQUEST: 726-3~~~ L/-2-9V' City Job Number """ ~
. OFFICE: 726-3759 a.-D
1. I&CJl;q.ON,Qf~NS\ALLATI~horlzedSlgnal\J'" r. T"HVl.F.TE FEE SCHEDULE BELOY
\()~~ ~~ J A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
\ll~~ION M~Q~
~~JE~.D:>
Pe mits are non-transferable and expire
if rk is not started within 180 days
of Issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contpactoS\(l ~k 9\ ~
Address \~<70 ~~\x\~. . .
Ci ty _Y I "'{\ QflL ~one ~.lJ::'{lQ \
Supervisor Li\ense Number -ol\\tS
Expiration Date \o.\.~~ -
Constr Contr. Number Y1'<6lB
(). ?5~,~~
Expiration Date
Signature of Supervising Electrician
r~ J\^JL'~
l~
Owners Name
Address -=1..~
Ci ty_f.D~Phone 3f1 ~
OllNER IN~ALLATION
The installation is being made on
property I own which is not intended
tor sale. lease or rent.
Ovners Signature:
~ATE~-------~-------~~J:J\l-(5-----
RECEIPT 11: l' Ii - " -"<<l?:4
RECEIVED BY:~~ ~"'_J
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. 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 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 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80~00
see "Bu above
New, Alteration or Extension Per Panel
"
One Circuit \
Each Additional
Circuit or with Servicj
or Feeder Permit 4
$ 35.00 :3t2
$ 2.00 P>
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
4~~
- cr ;1,,;:; ......
%~
40.00
40.00
20.00
36.00
: ~:~: