HomeMy WebLinkAboutPermit Electrical 1996-7-17
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225 FIITH STREET Dille 1, I rr. q &
SPRINGFIELD, OREGON 974.7L
INSPECTION REQUEST: 7Tll~'j'Y6'!1 SIgnature
OFFICE: 726-3759
L~CATION OF INSTAI.L4TION ~ JP:1
_ ;:)-33.5' ./^ ~, J.Cj5 A.
J7if5~~~ITION [')1 ~nrJ
JOBA>ES~PTI~N ",a
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
ELECTRICAL PERKIT APPLICATION
City Job Number qCQOq bq
COMPLETE FEE SCHEDULE BELOV *
Ne~ Residential-Single or
Multi-Family per d~elling 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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
1/.1' J.j,,^ A _ Installation, Alterations
Electrical Contractorr;lJ/Z..l.M.iG<1 ~ or Relocation:
Address rfnSq.JvJ. (lAJ'LI1LbO (j)/ ~ 200 amps or less
,1 _ - . . 201 amps to 400 amps
City-'':J.f jJV.)p~ Phone 101/1-051 'i 401 amps to. 600 amps
. - 601 amps to 1000 amps
Supervisor License Number ~57~~ Over 1000 amps/volts
Reconnect Only
Expiration Date
( 0/91
Constr Contr. Number {j t.{ 1./;2./
Expiration Date
(fJ/'f1
Signatu of super~ng Electrician
Vh( e.;--~-
1'1 \/r-r/{.. 50Xf 11~f1wL
Address 5~~S Met i Y\ 4 Sp :< 05
City L)f>)''\:Ji'dn\ Phone 7Ln-g51)~
01lNER INsiALLATION
The installation is being made on
property I o~n which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:_ ,-(Irq Co
RECEIPT #:-22&i/&.
RECEIVED BY: W,
Cost
Sum
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bll above
-'
Ne~, Alteration 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
Limited Energy/Res ~ $ 20,00 'lD.~
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 10, tJtJ
5% State Surcharge louD
3% Administrative Fee .'0
TOTAL 11 1/0 !lJn