HomeMy WebLinkAboutPermit Electrical 1996-9-17
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759 .
97477
726-3769
1, LOCl\JION OF. IpSTALLATION
-1'M'l Id'ffiA/4 or; .
LEGAL DESCRIPfION
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/
. r. ) JOB DESCRIPTION ' .. I ..,
1'4- .ACCSSaJ (1E{l.b.J5. LJ~ IN flt1!'tk .
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Eiectrical contractor' ~ ~ .'
. .......- -/ i;
Address
Ci ty .
Phone
Supervisor License Number
Expiration' Date
Constr Contr. Number
Expiration Date
Signature' of Sup.ervising Electrician
/" dy.-.... . "D,
"Ovners Name L;f1!:~cjp)~-=
Address /2~"":;> A~~~ -5';>--.
, ~/ ' ""
City ~~'~hone -?~~~2
n' / oJ!-o' ';' .
OIINER INSTALJ1l6i
-
The installation is being made on
property I ovil vhich 'is not intended
for s?le, lease or rent.
07Ki11~~,' "
------------------~-~----------------,
DATE: tJ9-/7J...~
RECEIPT if: 2;/~='. '
RECEIVED BY: ~~ ,
, /,/'. .. '---.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9&tJ951
3, COMPLETE FEE 'SCHEDULE BELO~
A~ Nev' Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft, or .less
Each addi tional 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
S 15.00
$ 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' 'OT less
201 amps to 400 amps
. 'Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80,00
see liB" above
.'
Nev, Alteration or Extension Per .Panel
~"'): ~
One Circuit V-- $ 35,00
Each Additional
Cir~ult or ~ith Service
or Feeder Permit I' $ 2.00
, ....0
~.
.E, Miscellaneous (Service/feeder not included)
-Each installation '
Pump or irrigation '$ 40;00
Sign/Outline LightinV $,40,00
Limited Energy/Res $ 20,00
:' Limited Energy/Comm $ 36.'00
5. SUBTOTAL OF ABOVE "3 )~. .".,.,..
5% State surcharge /', 8:'S -
3% Administrative Fee ' / . L /
TOTAL' . ~ 9'~ ,/h,_
. ' ,