HomeMy WebLinkAboutPermit Electrical 1996-1-29
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SPRINGFIELD
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'225 FIFTH STREET AW'dcrlzod Sjgnatu(~ .1. .//1/1 ~ ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 ~'
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION~A /'L
f!l(fC-r cMrt"PP(,-lf2;2:J Irtt:(t'17 7T. A.
LEGAL DESCRIPTION /702'3;,( '5:2 onco
4)..:1..3 nVbN ST- S-f'RI~' \="/fUl
JOB DESCRIPTION L /
~C?T'f!.o Fa- 16. H-T1~'<
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electdcal Cont,actorJ?R./A...J ])A'j at:
Address L/27 R. OJ) ALE' 0((' ,
r. 0><' 97r5:.t.f '
City F1T6..Lf f', PhoneS'If'770-t992...
Supervisor License Number .5914 S
Expiration Date IO..'O/-'1f(
Constr Contr. Number ?' ( O? /
Expiration Date 03- /9 -5' 7
Signature 0: Supervisin~ectrician
,7/?-4~ A'Y ~
Ovners Name Z?R / fi......; b'tJ ~
Address Lj 2- 7 t<. OJ) IH,.I ~
Ci tyF'1f t.. t..r f'/Ph~:; '77t?~/9'J 'L..
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
O\ffiers Signat'ure:
DATE~~--r~-~~~~------------------
RECEIPT #: 2Lf/{/t:;'
RECEIVED BY: Vl<t..
3.
Ci ty . Job Number q 70 J€z?:
COMPLETE FEE SCHEDULE BELO~ .. ~
Nev Residential-Single or ~
Multi-Family per dvelling unlt.
Service Included:
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
S 85.00
$ 15.00
$ 40.00
,B.
Services or Feeders
Installation, Alterations
or Relocation:
AI A"" lG-$'
~ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000'amps/vo1ts
Reconnect Only
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
,
200 amps' 'OT 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
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
~
$ 35.00 35
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit '~
$
,,'
"0""
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
g3.-
5. SUBTOTAL OF ABOVE ,r~
5% S ta te Surcharge 2,. /6
3% Administrative Fee ~ ~(,':J
TOTAL N. C; II