HomeMy WebLinkAboutPermit Electrical 1996-2-26
.
1 n'" \'~,10'f I I I ..... - -- d
Z0~ ^',;, and does not require specific Ian use
appro''"~onino C ~ ELECTRICAL PERl1IT APPLICATION
9~~~~3f69P:I~lo{..Q0 -S.--10 'City Job Number ~\ffi\\
, Authorizoo slgnhturo ~
3. dlMPLETE FEE SCBEDlILE BELOIl
1. ,LO~, ;q9-N qx^I..NnA1M"{;~~_
~:,~ \'l\~\ ~~~ A. Nev Residential-Single or
Multi-Family per dvelling unit.
, ~GAL DESCRI~ON Service Included:
\l\)~~c:;? \ ~~N\a r Items Cost
- '
~: ~lIDirL~ ~ ('HIt'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPEctION REQUEST:
OFFIC8: 726-3759
Permits are non-transferable and xp re
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
!
2. CONTRAcrOR INSTALLATION ONLY
,
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty ElIGENE
Phone _4Fl~-nq~~
Supervisor Licen~e Number ~~
Expira tion Da te 10/1/95
..
..
Constr Contr. Number 04296':""
Expi'ration'Date
12/10/95
Signature of Su~vising Electrician
,(!LL y~
Ovners ~ame ~, ~ ~oD
Address ~ ~h li\ ~.
)
City Phone~.I~
01lNER I TALLATION
The, installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:---------------~-~:~T():~C;; 5.
RECEIP"r I: ..l-ll . ".... ~ ~~r"
RECEIvED BY: ~ 1\ l. .\~ '\.
1000 sq.ft. or less
Each additional 500.
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dvelling
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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ID-
$ 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 1000 volts
D.. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see tlB" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circ~it or vith service~
or Feeder Permit $
$ 35.00
2.00
liL
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
'ie'E.o'\I" ~D '
iDtlO
not included) ,
,$
$
$
$
!nln,OO
f:<!9-
IlJ-t
40.00
40.00
20.00
36.00
.
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