HomeMy WebLinkAboutPermit Electrical 1996-10-28 (2)
/L
,-
. .
~ t.Jc ~ qbOt./t.N
. . SP.GFIE:~' ...,...
, The.10nOWingdPr~ie~\ ~eq~~i~:sp~itiC land ~"se
zomng, and oe... n '.
approval.
Zonino
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726--3759
Dote
.9747.J:horlzed Signature
. 726-3769
.lli ~C~T~ON OF INSTA~LAT
. I . I '
~GAL DESCfIPBON
~P('{f~
JOB DESCRIPTION
N J cr?!L17 A.
I
)y5--hA
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance.or if vork is suspended 'for
180 days.
2: CONTRACTOR INSTALLATION ONLY
Eiectrica1 Contracto~--A.A-J+/}Ia r/h tu
Address 7)), rfa w;vr . ~ + .
Ci ty E v", p;' ( Phone c.9 {, -~9 'I i'
) .
Superviso~ License Number c; ~ I,) L~
. Expiration Date IO-I-o/~'
,Cons tr Con tr, . Number q ~ g crJ
I ----.'
Expiration Date ').(]/o/1
Signature of Supervising Electrician
. /J:1/(~~. ;~4 ..----
Ovners Name~V1I(.f'11' va OCrJ. .(T."jJ
. Address~d,J Mr.h". )..J- . .
Ci ty .5(jll--ll\i fl.JPhone 7'1f/-7/fJ5"
OVNER INSTALLATION
. ,
The installation is being made on
property I ovn vhich is not intended
for sale " lease or ren t.
ovner:fi$'1ature: A.(4 .
'5{111-\__ ~
~~~E~~-----)'7j)-J1~-~--t?/~----- -----
RECEIPT 1I:' Z-<3/~JL/ ,/, ,-
RECEiVED BY: /[,~~_
E~=CAL '~mCI~'~
Ci ty Job Number tit.! I U & 7
3. COMPLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or ,less
Each additional 500
sq. it or.portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service' or F.eeder
j, Services or Feeders
Installation. Alterations
or' Reloca t i'on:
200 amps or less
201 amps to 400' amps
401 amps to 600 amps
601 amps to 1000 .mps
Over 1000 amps/volts
Reconnect Only .
uni t.
Cost
Sum
$ 85.00
$ 15,00
I
$ 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 $ 40.00
201 amps to 400 ?mps S 55.00
Over 401 to 600 amps $ 80.00
Over 600' amps or 1000 vol ts see "B.'" above
D:' Branch Circuits
Ne~, Alteration or Extension Per Panel
One' Circuit
Each Additional
,Circuit or vith Service
.or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
.Pump or irrigation
Sign/Outline Lighting
. Limi ted Energy/Res
Limited Energy/Comm ~
.'
'.
5.
SUBTOTAL OF ABOVE
5'% State Surcharge
3% Administrative Fee
TOTAL
$ 35,00
$ 2.00
not included)
S 40.0.0 .
$ 40.00
S 20.00
$ 36.001.5"
3f.R -
I,PoO
i, rjf':?
.::sfi.? Be:>