HomeMy WebLinkAboutPermit Miscellaneous 1996-9-19
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SPRINGFIELD
ELECTRICAL PERKI;:.f;PLICATION .s
Ci ty Job Number ~ 0 ! d
New Residential-Single or *
:::::::m~:: ::~::l~::O:ni t. .'
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
3.
1. LOCATION OF INSTALLATION
/42,15 /VIarKef si:
A.
LEGAL DESCRIPTION
/703 :::2C; 33 / ()06S
Sum
Cost
It ems
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
IIlSfal/ 5el'.LL o'+v
I
Permits are non-transferable and expire
.if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Sonitrol Security or Relocation:
\
Address P.O. Box 21009
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Phone 461-5678
City Euuene
Supervisor License Number /(o8Q /?&T
Expiration Date JI.?- /- 9b
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
$ 40.00
$ 55.00
$ 80.00
see "BII above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date 6-28-96
Si~~lectrician
~ M,/fJGhIlI'l{.Y-jcl.bN D.
Owners Name .m-.'i~_.; ::.;:1et-I CrcddS;;,-.<;.
Address c5&m ,n 3'190 D~d rZo
City PiAqM1_ OYhone 4/(>1- 8{)24
O~INSTALLATION
8ranch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with 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 3t.:,0l>
5% S ta te Surcharge f 80
3% Adminis tra t i ve Fee I 0 Ii(
TOTAL ..~811'cS
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----2?--------------------------------
DATE:7 - jq- q~ _.
RECEr'PT lI:n;"'J.LtydX - .
RECEIVED Byn ' inBcl1a.te-o