HomeMy WebLinkAboutPermit Electrical 1996-6-14
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ELECTRICAL PERHITftrPLICATION
City Job Number \A~tJtO\ ~ A
1~'~~r ~~~ rCHEDULE BELOV
The following project as submitted has tho I
zoning, and does not require specific land u
eppro~al,
97477 Zoning L. t--. r2...
726-3769, 1^.,/1.~/_
uQe~
225 FIFTIl STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Authorized Signature
L ~Ct!)8~~ I~ue.AT~ot
\ill'in~ON~1J)O
o '\J{~r~~crp~ a~
-.-- . \ ~
Permits are non-transfer\ble and expire
if york is not started 'vithin 180 days
of issuance or if,vork is suspended for
180 days.
2.,' CONTRACTOR INSTAL. ~TION ONLY _ B.
\ . \ f,
Electrical ContractQ..r' QX\"'((\0f2"':~
Address \\'A.f) - \\M"\ '*:\lJ\~
City f\Q\KJ\Q.-- PhoneJ75{.\~
Supervisor ~cense Number ct~~
Expiration Date \\). \ .~~
Cons t l' Con t r. Number \ (':;) \?f)
\~'~'1.~
Expiration Date
Signature of Supervising Electrician '
~~"
Ovners 'Nam! cl\Ln'lt1uLl Q. ~~ D.
Address (\ \\Q QM I\0ctt
Ci ty ~ Phone oe...
OIINER I}JT~LLATION l'" l. ~CZ:Dt
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
,
Ovners Sicnature:
DATE: ~./2 "'7',1;:
RECEIPT i1: '2 / e9 -
HECEIVED BY: -;{'~,
A. Nev Residential-Single or
Multi-Family,per dvelling unit.
Service Included:
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
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
$ 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
Branch Circuits
Nev, Alteration or
$ 40.00,
$ 55.00- .'
$ 80.00
see "B" above
Extension Per Panel
$ 35.00 (fly':)
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~~~
5% State Surcharge -'1 l~~
3% Administrative Fee 1.1'1
TOTAL ~\_'~