HomeMy WebLinkAboutPermit Electrical 1996-3-29
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T\'-',;:. following proiect as r,ubmittod hcs the foile\\'
~'.~,""\irjg. and does nal roaquire opaci1ic lend lJse
a~;J(ovo.l.
Zoning L \:J R..
225 FIFTH STREET ' Q,," .-:a,1;:)Cj Ie, &
SPRINGFIELD, OREGON 97477 ~
INSPECTION REQUEST: 72613'7]~zed Signature - ,0
OFFICE: 726-3759 '
l. LOCATION OF INSTALLATION .
,y,c.\1ri\ufhc;-0.c. \<12.'2. \v\GcCola Rd A.
..J
\-1ft.i~~t~~ONCO \CD
JOB DESCRIPTION
T(\c.,tn\\ ;1\\J((\ CnC,(lr\el \~-\-W-.s On
, a roce,~c.~ (wall :::';<)11')
Perm1ts are non-transferable and explre
if work is not started ",ithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractort,S>tf\, :tN(.
Address \2..\0 OA~'PF\TC", Rt:.
Ci ty E'^3ef'l~, Phone Y9,s-SSlfto
Supervisor License Number 590 ~lb
Expiration Date ID- \- gl",
Constr Contr. Number 2.:' I' \ 2..~L.,
Expiration Date ?-2- Q'1
ELECTRICAL PERMIT A:PLICATI~_
~~LY ~ob Number lJ\LQ[)l~~
COMPLETE FEE SCHEDULE BELOII .~
Ne", Residential-Single or
Multi-Family per dwelling unit.
Service Included:
3.
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
B.
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.0Q
"
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 100v
Signature of Supervising Electrician
<1 [/I1A.j, ~
'-/ ' D. Branch Circuits
Owners Name,Q,,€(',u( ,-\-u ftx-:\'Cl.. f.n~{\(.',,:1 s.u\l;({~
.j New, Alteration
Address\()D?-.o. W,\ low tr.e.{.\( 'P,"lAO
City5)O(\ D\eu,c CA Phone (,,1<1" 5'7~- "'ISO
- 0)
OI/NER INSTALLATION
The installation is being made on
property I o",n whieh is no t in tended
for sale, lease or rent.
Owners Signature:
DATE~-------~~~-!:Jl1tt?--------A---
RECEIPT #: ~( ... ^ f\(}F~e
RECEIVED BY: ( ..t '1/) U7
I ~---:-
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
"
or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting \ $ 40.00 4( ).u')
Limited Energy/Res $ 20.00
'Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~.tx2
5% State Surcharge ~ .,::,v -
3% Administrative Fee I.6LU,
TOTAL 4-3 ..;.LV .J