HomeMy WebLinkAboutPermit Electrical 1996-04-25The following project as submitted has the
zorring, and does not roquire epecific land ur
approval.
Zoni-l -25-1 L ELECTRICAL PERUIT APPLICATION
Ci ty Job Number 4e2>26
3 COI{PLETE FEE SCMDULE BELOV
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
Sertice or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less /--
201 amps to 400 amps _
40J. amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
c Temporary Services or Feeders
Installation, Alteration or Relocation
SPFiIlrlGFTE.I*O
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t I
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
TOTAL
a#
225 FIFTE STREET
SPRINGFTELD, OREGON 97477 ,'
INSPECTION REQUESTz 726-3169
OFFICE: 726-3759
OF INSTALI.ISTION114 //1 LOCATION
717 A
LEGAL DESCRIFTION
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 INSTALI,ATTON ONLY
Electrical Contractor A C
Address I oo A
Ci ty Phone 7?- C--?87 7
Sum
B.
,C
c
$ s0.00
s 60.00
s100.00
s130. 00
s300.00s 40.00
s
$
$
s
-2-'*
-
Supervis or License Number 5 tG - 5'
Expiration Date
Expiration Date
/o - 0( - ?g
Constr Contr. Number o 2TO
200 amps''or less
20L amps to 400 amPs _0ver 401 to 600 amps
Over 600 amps or 1000-voITsof Supervising Electrician
rs Name
Address ND
Ci ty L Phone
OIINER INSTALI.ATION
The instal-Iation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
tL-40.00
5s.00
80.00
ee 'tBrt aEove
D. Branch Circuits
Nev, Alteration or Extension Per Panel
s 3s.00
$ 2.00
not included)
40.00
40. o0
20.00
,?4
E Miscellaneous ( Service/feeder
-Each installation
Pump or i.rrigation
-
$
Sign/Outline Lightitg- $
t lmitea Energy/Res
-
$
RECEIVED
5 2,.te