HomeMy WebLinkAboutPermit Electrical 1996-8-8
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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/, ~
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/ . ~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 '