HomeMy WebLinkAboutPermit Electrical 1996-07-12CITY OF OREGON
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SPFlIt\lGFIEL(,
ELECTRICAL PERHIT APPLICATION
Job Nurnber 5
COHPLETE FEE SCMDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit
Service IncLuded:
I tems
1000 sq.ft. or fess
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
Cos t
s 8s.00
s 1s.00
s 40.00
Tha follorving proisct as submitted h89 th9 lollowing
i r.r"ij, JiiJ?5ui not require epecilic land us€
a,lPiOval.
Zoai
225 FIFTE STREET
SPRINGFTELD, OREGON 97
INSPECTION REQUEST: 7
OFFICE: 726-3759
1. LOCATION OF INS
a^tu1)9i-V
iltvr, .
4A a3l6O
3
A
Sum
JOB .DESCRIBTION(rHrl 1 r Ot r[-.,C81\tutu 0tt )
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 INSTAILATTON ONLY B. Services or Feeders
InstaIlation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
C
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
Electricaf Contractor
Address P
pnone 'l4l - l,*3b
$ s0.00
s 60.00
$1oo.0o
s130.00
$300.00s 40.00
Ci
Supervisor se Number lbfl,b s
Expiration Date /O-l-98
Constr Contr. Number D 39+q
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Supervising Electrician
+Z
200 amps''or less $
201 amps to 400 amps
-
S
0ver 401 to 600 amps
-
S
Over 600 amps or 1000-vofts se
40
55
BO
e
a
0vners Name
Address
Ci pno"" 'l4rl -181 i
OVNER ALI,,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
Nev, Alteration or Extension Per Panel
oneCircuit I $35.00
Each Additional
Circuit or vith Service
or Peeder Permit $ 2.00
35.oo
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/OutIine Lighting_
Limited Energy/Res
Limited Energy/Comm
s 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
35, cso
1,45l. 05
31, 90RECETVEDC)
5
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