HomeMy WebLinkAboutPermit Electrical 1996-8-30
.
SPRI.IELD
The following project as submitted has the follow;
zoning, end does not require epac~lc land use
approval.
Zonina
mw ----
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
Q<rte ~ ''k'..ctll
97471
72 6A>3iJ;(jl)ed Signature
LOCATION OF INSTALLATION
to.'SC15 (Y)AlnJ sf
o t'2..9_.J
'f~
LEGAL DESCRIPTIOB.
liD? 34 <-tl
JOB DESCRIPTION
~~ f2.v(c.€ ~~. _~,.-;:-,,;:
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~ 1::(R'eIC. SEP..J//CS
Address Po l1JoK ~"'\.::'\2.1
C' -
1 ty j,:;" .Jr.=:~') t::
Phone .3tf_""l- 1 &:/i.<f
Supervisor License Number / =>,q..:\ S
Expiration Date Ir. Iq(p
Constr Contr, Number ":29,..)("") I
Expiration Date
0./00
Signa:ure of Supervising Electrician
7r-, jJ~(}l jfa~/
Ovners NameLJ~ Sha-n+~
AddressC/O l'i{qJj h. 014/L. .
Ci t{j;.~e;u.. Pho~ c.; / -cq It;'
O~ INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
-----~--------?;--------------------
DATE;/)":-Z/l;;-, 7 (,,:> .'
RECEIPT 11: U d -lU~ f
RECEIVED BY'Ll. /y?~(7.ht:Jl ~,) .
"
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ELECTRICAL PERMIT APPLICATION
'J',:: Job Number 9 ~ 1/7::2...
3.
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
uni t.
'*
Sum
Cost
$ 85.00
$ 15.00
$ 40.00
$ 50.00 .:so ~
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see nB" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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