Loading...
HomeMy WebLinkAboutPermit Electrical 1996-8-8 n1Yb'1:~'Db O\tJt)~ . . The following project as ou m , ' d zoning, and doee not require specific 11m UBO approval. L ~ Zonlna Date ~'5<;.ql<, v.~~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 Authorized Signature 726-3769 1. LOCATION OF INSTALLATION/, ~ ":F 'U~.~ )(av;z;l~ ~~r / . ~GAL DESCRIPJ,ION ~/ ? /? A"/V~A" . ; ---. -" 'JOB DESCRIPTION I~., LJ~<< ,fin, &or) 5;F..# Permits are non-transferable and expire if work is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contract~~t;'\\\\n.c[\.ott Address \ ~() '(\If,,c;t'H '11~ City ft~n(L. Mone\O~~."1h-::, Supervisor LIcense Number '?JC\~~ Expiration Date \. () . \ . CVl Constr Contr. Number C\\O~f)~ Expiration ~ate \. ~~ .c\f') Supervising Electrician ~ Ovners Name ~~~ Z3 , Address~'9 ~ f.IV-tK Pm Vl.-K.. 'De... Ci ty J: ~.i"\J. 'Oi. Phone 44g)-3~ , Cl 4-()~ OVNER INSTALLATt~ The installation is being made on property I own vhich is not intended for sale, lease or rent. Owners Signature: ~~~E~-----~~~-------------------- RECE.1~~ #: ' -:2-2--i1;",,, /J. _ RECEIVED BY: ~~ '7fV1 ELECTRICAL PERMIT APPLICATION City Job Number 9tb/ ~~a 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 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 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 $ 40.00 +'i2~O $ 55.00 $ 80.00 see "Bit above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ $ $ $ ~Ot:J.O, , 2~ / 2,0 ~.20 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL '