HomeMy WebLinkAboutPermit Electrical 1996-10-18
.
'SP.GFIELO'
The following projer.U.ls sUbmjtt~d.l:o.n_.thde f~!lowi~9
. and doe'" not require 6p~-c!IIC bl1 u...e
zOning. ~
a~prov~l. . . -I 6"-
Zoning L.-
n4;t,716~1'{,:..!ttt '
726-3769"1 ' N:1\.o\
. Autnorized Signa uro
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATIgN
,?..?/J.s- m~ -S' i~
)
LEGAL DES~PTION
1/ ()C7 31 31. DS&(J7)
JOB DESCRIPTION
r-"iL(J;.C-""tyH(T1J~ (" (11 C../fl.CK-1 {-
, '
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2,. CONTRACTOR INSTALLATION ONLY
Electrical Contractor.:.j.<'/flNO fs:"'<~;2f,c..
Address ~ C{2.clu(jo-lZ (2.b.
Ci ty GA.~t CJF.! Phone C,ea 17~
Supervisor ,License Number 3~3S
Expiration Date
:o/;/ fir
Constr Contr. Number /l?3~~
Expiration Date ;~.~~~G.
Electrician
O~ners Name~ ~d"_.A.-"
Address PI) 8af( 3/0
City >~~/J_' Phone72t,~/Jtff"
,
OVNER INSTALLATION
The installation is being,made on
property I o~n whi~h 'is not intended
for sale, lease or rent.
Owners Signature:
DATE~-~-~f~~-l1(j1------------------
RECEIPT #: () 01 ~5d ~
RECEIVED BY:11-.Jy\(1('0.1J D
ELECTRICAL PERMIT APPLICATION
.' Ci ~y Job Number '1 (,' I { ~ {;; ,
3. COMPLETE FEE SCHEDULE BELOY ~
A. Ne~ Residential-Single or .
' Mul t i-Family per d~elling uni t: ,. ' '.
Service Included:
Items Cost Sum
1000 sq.ft. or less
Each add it i'onal 500
sq. ft or portion
, thereof
Each Manuf'd Home. or
Modular 'D~elling
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
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
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 v~lts see "B" above
Branch Circuits
"
Ne~, Alteration or Extension Per'Panel,
One Circuit J $ 35.00 l
Each Additional ,
Circuit or ~ith Service ~(.,. of)
or Feeder Permit .3 $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res,
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40. 00 ,
$ 20.00
$ 36.00
41.00
2_0~
J. ~~
Lft-r 'dX
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL