HomeMy WebLinkAboutPermit Electrical 1996-12-9
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225 PIFTH STREET The, fO!lowinl}1;\l'hj..l. ~s suljm~led has th'EI:EC'rR[CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~~~'r~~af.~l;l6t~eqUire specific land uso q',""1-
INSPECTION REQUEST: 726-3769 U.,....." 111 Ci ty Job Number {P / (pJ, 7
OFFICE: 726-3759 Zonl'? A ) f ~
Dale J J\L1-I~ 3. COMPLETE FEE SCHEDULE BELOV
1. hOkATION pP IliST~ON.1 i.D.o:l" -I., lrIlIl f^-- _
, '6 "\ I t1 a", 01 ~...... p f'~'~rl~<~ sl'K'~"o-DA~New-R;sid1!n1:-ial-Single or
IJ U Mul ti-Family per dwelling uni t.
, LEGAL DESCRIPTION 2 Service Included:
.nO), ::2 S';) '-.::,...1-) :2D n Items Cost Sum
T JOB ~ESCRI%f.ION \ ('
f ~-f'f'; c S ,'... "...,.... .) ~ \' v ~ <- {l
G
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.
Electrical ContractorCkH1 J C ~i E'I.,.,t;,
Address;P'~-'(S,:> X ~<'60 S
Ci ty ~ \('-n.- 9-/309 Phone3'\9- '76'(\'1
superv'isor License Number \ 38 (3-5
Expiration Date \ 0- \ - 9. ~
~onstr Contr. Number ~ 1 66 ()
Expiration Date 7-co ~\.I
Signature of supervisin~lectrician
~Ji4~'
Owners N~el ~ r--.Q. ~ \I ~ J '
Address\5 0'10 11 0 -;:l-l. O-e\~ ~ "':::J
Ci tyE'J (~ "\ ~Phone3 ~ l- 6 tt 9q
<.)
u..."",, INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
1:;L/q/~/-P ~
RECEIPT I: I '.
RECEIVED BY: U ' . - -
U \Vfu
DATE:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less 1 $ 50.00 5~
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with service,
' or Feeder Permit
$ 35.00
$
..0.::.
2.00 <...
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
S2P'
c... c."
L')G .60
I
, I
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL