HomeMy WebLinkAboutPermit Electrical 1996-5-7
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SPRINGFIELD
The following project ee submhted hIlS the folio
zoning, and doe::> not require sprlc.ific land UGO
approval.
Zonir>g Cc.
97477Dme~
726-3~69.1zGd Signeture~
I
3. COMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
57;),7 fIvlo,;VI
I :1J8~f~Wrfl?~
ELECTRICAL PERMIT APPLICATION
ri '''~b Number
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
f) 1000 sq.ft. or less
Nu-r'fc...yS/ Each addi tional, 500
. sq. ft or portlon
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular. 'Dwelling
180 days. Service or Feeder
JOB DESCRIPT~ON
S{'o< v"c.(" Gte..;, fc:,
(' (Joti>'7
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorC~()lo() U",(I.",E/~cf",,-
v
Address PO' ~ ';(()'dCJ!
Ci ty 'E.Aot(....<e. .'.Cit. Phone
Supervisor License Number 3te:g'Jl{5
Expiration Date /0("17
Constr Contr. Number c;5{rO
Expiration Date S/'7.5
,
Signat~e of Supervising Electrician
uh~ 4'(~
o'w:ers Name ~Y1A f ;> Ii r tlv\
Address Pn, RnY R ~ n
City tJtwk'D1W Phone '1lio -1tt()
Q7f1'15
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATi~---~;-~:-~~--------------------
RECEIPT 11: '1i,./I-/
RECEIVED 8Y: Vb'_
.B.
Services or Feeders
Installation, Alterations
or Relocation:
1#$4/L
1160 :( '-I
Items
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
uni t.
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit I $ 35.00 JSOD
Each Addi tional
Circuit or with Service lK...dO
or Feeder Permit ~ $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 5J.(}()
5% State Surcharge ::1,(".,,>
3% Administrative Fee 1.59
-TOTAL - 57,;1..'-(