HomeMy WebLinkAboutPermit Electrical 1996-4-11
Th. following P'oj~ ~ "",..b.r.n~ ~ ~ fRJ!2>>'~
;",,"in~ and coee. not ceqWr\\ ~1!\I<~iiiJ:~.
225 FIFTH STREET ",,;novel. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 niog tG t1 , Arv\n--,
INSPEctION REQUEST: 726-3769 cr _( 11; I J'> 'Ci ty Job Number l.-\ ill T\'-1 I
OFFICB: 726-3759' D~e I ~,~ ~
1. L 'T 0 INST rl'8~ SlgneIunl. ~ COHP~~.~~: SCHEDlILE BELOIl ~
A~~ ~, .f\ ~10ll~ If Nev Residential-Single 0, r
" -. i'- Hulti-Family per dvelling unit.
. LEGAL DE~FTIOIkI _ A rV"\ Service Included:
Y\I)'J-~"1.1\ U,Vt{ 1 J , Items Cost . Sum
~_ J~RI~e1J~ c!l riLCS
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
I
2. CONTRACfOR INSTALLATION ONLY
,
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty EllGENE
Phone 4R~-Oq??
- .
Supervisor License Number ?Q70S
Expiration Date 10/1/91
Constr Con tr. Number 04296' ,;.
"
Expiration 'Date
12/1O/!6
City
Phone
o
NSTALLATION
The, installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED BY:
-------~~\\~-~=:;---
L J ) :.\\\ \ \J-
'V\\JY1- I)..'\.- -
1000 sq.ft. or less
Each additional 500.
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
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
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
'$ 40.00
roCV
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
$ 40.00
$ 55.00
$ 80.00
see "nil
above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servic~n
or Feeder Permi t rx
$ 35.00
$ 2.00 4;CO
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 H}t ,W
5% State surch~lge p:J11...
'JO:rAI., '0 10 ?- ~
lO1riJl,. \ t 2.'32.