HomeMy WebLinkAboutPermit Electrical 1996-12-10
Thf: to!1ow;ng project as submitted has the followi"ng
Z()piflQ, amI doeG not roqulre specific land use,
225 FIFTH STREET a',~r",'ai, ~ ELECTRICAL PERMIT ~PLICATION
SPRINGFIELD, 'OREGON"9747;7on.r'~ C- (' . \ jn N:,
INSPECTION REQUEST:D,}26..-ill' f/J City Job Number '\U\U IJ. )
OFFICE: 726-3759 . ~._(./=.. ~
A~\!'\o(lzc-d S\~naturc '. ~Jl.-.eOMPLETE FEE SCHEDULE BELOY,
1.' LOCATION OF.INSTALLATION
~<l-15 l(j\MIl'.l..IT. A. N,o ,,,id,",,,,.,,",l, " ~
, Multi-Family per d",elling uni t .'~
l~(~~~CRIP()~ Service Included: Items Cost Y, Sum
. JOB DESCRIPTION, 1000 sq. ft. or less $ 85.00
...lr(\\\\fn~fG (''o-t. ~ lCIi~)' Each additional 500
v sq. ft or portion
Permits are non-transferable and expire thereof '
if work is not started ",i thin 180 days Each Mantif'd Home, or
, of issuance or if work is suspended for Modular 'Dwelling
180 days. Service or Feeder
2.
CONTRACTOR INSTALLATION'ONLY
Electrical contrac't~rLt~ 8~a~t;U{\,~.
Address. P.O'.~ . .
Cit~i\.lj(\ta~a. Phone '141 -~'J..olo
, Supervisor Llcense Number I h 9.bS
10 - 1 -~~
Constr Contr, Number o3ZL/:Q
q -I - q1
Expiration Date
Expiration Date
The installation is being made on,
property I own ",hi~h is not intended
. for sale, lease or rent.
Ovners Signature:
~A~E~-------------~~-rCl,l{&;---~---
RECEIPT jI: ! () _ ~~
RECEIVED 'BY: rJ,\-I\..k../ 0' .
.B.
Services or Feeders
Installation, Alterations
or. Relocation:
$ 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
5~ SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
volts
$ 40;00'
$ 55.00.
$ 80.00
see tlBtt
above
Signature of Supervising Electrician
~.~~v ~/ "
~. X () . . D. BranchCircuits
Owners Name(i~f/\O(\l\UJ.)(Il'1\W rA~ .
, , l1" . New, Alteratlon or Extension Per Panel'.
AddresslloOO l\(\~~a.~ \\.ll)4..1t1l\..> \1LULlbo' .
.. ' One Circuit
'CityJ\IC)!'m.O' P one 6gb'-gO~D Each Additional
~ Circuit or with Service
, OliNER INSTALLATION ' or Feeder Permi t
200 amps or less
'201 amps t6,400 amps
401 amps to 600 amps'
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only,
200 amps' 'or less
201 amps to 400 amps
Over ~01 to 600 amps
Over 600 amps or 1000
$ 35.00 ~O
$
2.00
n?t included)
E. ,Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
. Limited Energy/Res'
Limi tedEnergy/Comm
$ 40.00 ,
S 40.00
$,20.00
$ 36'.00
.~5.oo
i . 'l;i
l.O~
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