HomeMy WebLinkAboutPermit Electrical 1996-10-18
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SPf-{INGFIELD
. .. b itled has the 0 OWin
Th followln9 project as su m . . . . ,
zo~jng, and does not require specific land u~
approval. . . 1\ A O~
Zenina , VI
Date 10 ~ ,.6,,-f (,
9~~~~m~19nature. k1 rA
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ~OCATION QF r:/tTAp,.ATION
~/4q Malt/! 1
LEGAL DESCRIPTION
17(J2 ':5 Lf3'I07JSO-O
J2B DESCRIPTION
r /JIY//M1z..
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
Electri~al Contractor$TtO"VG?11:'N ea--
Address1--l C;o j;.U~ ~~
Ci ty e;:;c).~,..,~ Phone ~4- -1).-,g
Supervisor License Number '].'.q 'Z-.~ S
Expiration Date If)..-I ~Gf1
.Constr Co.ntr. Numb'er LfI?7 (
Expiration Date
'1- ;. t. '- '17
Si -cnature of supe~s~g E~~ctrician .
l~f~.,
';vners Name(/Jailt~l()f1nl(l Gr~ D.
Address715.2l/-M,W tYL ,
Ci ty~GroVe-. ;honertt2-1z'6?5'
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
DATE: _ !O-Ill.q s;,
RECEIPT #: Z35r/
RECEIVED BY: tv
3.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ,t{rIJ /( q 0
'''''''''' '" sc"''''''' "".o:Oi L . *'
A.
Nev Residential~Single or
Multi-Family per dvelling
Service Included:
Items
Cost
Sum
10.00 sq, f.t. or less
Each add'i t ional 500
. s~. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Services ,or Feeders
Installation, Alterations
.or Reloca t ion:
200 amps or less
201 amps' to 4.00 amps,
401 amps to 600 amps
601 amps to'lOOO 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. $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
Nev, Alteration or Extension Per. Panel
One Circuit . )\
Each Addi donal
Circuit or vith Servic~
or Feeder Permit ~
5~
6~.~
$ 35.00
$ 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 71/.~
5% .State Surcharge 2.0~
3%,Administrative Fee I 2~
TOTAL' q4/..?x