HomeMy WebLinkAboutPermit Electrical 1996-4-15
SPRI:.ELr;>~ .
'The following project 8S submitted has the folio
zoning, and does not require specific land use
. epproval.
225 FIFTH STREET . Lf'Il1:' ELECTRICAL PERMIT APPLICATH'N
SPRINGFIELD, OREGON 97477 Zonmp . . . n 1\ ~..I fI
INSPEctION REQUEST: 726-3fU9 4-1 ~ -'1 L{ . . . Ci ty Job Number VI\ 4tKJ \.V
OFFICE: 726-3759 . . ^ \ _ AI\.,. .
. Authorized Slgnature~. - COUPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~TIOY . .
41'(t)~JfA--l 'I.W. .A: New Residential-Single or
. \ no d\ \ 4 Multi-Family per dwelling uni t.
() LEG~ DE~PTION I 0 ~ -1i'y-~ervice Included:
K ~/zi) s + u ..AJ-f!J (JT.J...jL./ Items Cos t
, I
~LJ~B D~S
.JJ/I!. vv , I;J Stklp
.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
J
,
2. CONTRACTOR INSTALLATION ONLY B.
, ~
Electrical Contractor ~
Address~~, &~ Z)SO~ ~1.1)1. W. t,i-(
Ci ty 3rtCtPil Jtr Phone to) }fJb-4J (J
,
Supervisor Licen.se Number 3~~ - S
Expfra tion Da te I () - I - q c;-
..
Sum
1000 sq.ft. or. less
Each additional 500
sq. ft or portion
thereof .
. Each Manuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00.
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
" .
,. "
"-
Constr Contra Number2b- /4$'<:-
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Exptration Date
10-1 -qd..
.
~e of Sup. v
. I ~ ;j
/~.
. ,
9wners Name~s
~
Address 4I)fD ~d AV;
City~.:;~/Ii Phone 7~-ft;S3'2
OVNER INSTALLATION
D.
f
The installatiori is beirig made on
property I own which is not intended
for sale, lease or rent.
E.
Owners Signature:
=n - .~---\~--~-. \~ ~7---
Rl!CElvED BY: ck\J ~("', i:J. vcr I
5.
., :.. ..":~-:.:; .-., . .... "'~'"" . ~ '. ,-
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
.$ 80.00
volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
I
35"
$od
One Circuit
'Each Additional
Circuit or with Service
or Feeder. Permi t "a.- $
-J
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 35.00
2.00
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00 .
$ 40.00
$ 20.00
$ 36.0~
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