HomeMy WebLinkAboutPermit Electrical 1996-5-9
'T:I~8'"ff,.",. .... ,,-,.' , .
. I. '10-.,
225 FIFTH STREET :.":.s.----...
SPRINGFIELD, OREGON 97477 (\ c.....
INSPEctION REOUEST: 726-3769 z..., L-
OFFICE: 726-3759 0lIl. '5 -Cf -0 to
" 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATI~__ "'-In
CJ/5M-Alk\ ';:., . A. INew'kesld't!rrual-Single or
Hulti-Family per dwelling unit.
Service Included:
AL PERMIT APPLICATION
Job Number q 0.0 ~ 3 I
'City
*
. ~ DESCRIPTION '
110.5 ;SS 42- ()(o8tyi)
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00
JOB DESCRIPTION .
I N<::.rn.U- c:; PA Q. I:::.r NG LOT POLES
. 0"-1. 2. C-(I?""U..U'r-,.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
$ 15.00
$ 40.00
.~
B. Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACl'OR INSTALLATION ONLY
,
Electrical Contractor Beacon Electric
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Address 2585 Roosevelt Blvd
Phone 4fd -0191
Ci ty Eu'l!ene
Supervisor License Number 1~~
Expi'ration Date
10/1/96
I
..
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
..
Constr Contr. Number 1R497"~
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
Expira tion Da te
1/10/9
Signa~ture of SU~~~i~g Electrician
/' D.
Owner ame /I-IUlffiltJ'S It-'\fnE'lIDM07tfs;
Address 7;(0 ~ M AI~ e:;..,-
Ci ty ~ P 1==-(\ Phone 747 - 3374-
Branch Circui ts
New, Alteration or Extension Per Panel
$ 35.00 35.00
One Circuit
Each Additional
Circuit'or with Service
or Feeder Permi t I
$ 2.00 Z,OO
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Hiscellaneous (Service/feeder not included)
-Each ins taUa t ion :.
Pump or irrigation $ 40.00
Sign/Outline Lighting ,$ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
5. SUBTOTAL OF ABOVE
5% State Surcharge
~3% Admin Fee
37.00
I <;l,~
I. I I
-~~f7.r.------------------
DATE:On /7(# . /_
RECEIPT'I: UL-/ ~ ~
RECEIVED BY: / I. I fl0J('floa<J
3'1 .q <.0
TOTAL
~