HomeMy WebLinkAboutPermit Electrical 1996-5-30
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The. following project as submitted has the f
zOlllng, and doea not require specific fa d
3pproval. n use
225 FIFTH STREET n /'0 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina '-.:. '---- Q/ . i\ / L 0,
INSPECTION REQUEST: 726-37~~IO.o--n Ci ty Job Number I V;,U ( 7,7--
OPFICE: 726-3759 . .j(
Autl\onzod SIgnature
1. LllCATION OF INSTALLATION
/qL/() fYJan-ola I<d A. Nev Residential-Single or
Multi-Family per dvelling unlt.
Service Included:
Items Cos t .um
j -/:13 D~s5~N OO/6D
JOB DESCRIPTION
/nsla// SeCu.Y/~1
Permits are non-transferable and expire
if work is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15,00
$ 40,00
2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor. Son i t rol Secur i ty or Relocation:
\
Address P,O. Box 21009
Ci ty Euuene
Phone 461 - 5678
Supervisor License Number jt,'B'1 f(&T
Expiration Date
j/}-j- 9'~
Constr Contr, Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
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
$ 55.00
$ 80,00
see "B" above
Oyners Namtri-~~-:r1tCI:;X1 t~/s~ D. Branch Circui ts
If? 'tF.l fi5~3o fLn..e 0Ro"u.,d)ey, Alteration or Extension Per Panel
,"CO" "K E ,,_c' "'1;7' ~o/q
I 7'ftD One Circui t .$ 35,00
Ci ty ~'~"jP Phone _ Each Addi tional
(p '67-2 / Circuit or yith Service
OVNER INSTALLATION or Feeder Permit $ 2,00
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: ,..l)- 3D- ~(d
RECEIPT~#: O~ /-7 j (J
RECEIVED B'y: r). i'n ci)~ 0
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20.00
Limi ted Ener.gy IComm ~ $ 36,00 ~&,Ol)
5, SUBTOTAL OF ABOVE ~~.~
5% State Surcharge !. '80
3% Administrative Fee !.: r? g
TOTAL , ~i? ~f?'