HomeMy WebLinkAboutPermit Electrical 1996-11-6
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'fhe following project as submitted has the foilowinQ
loning. and does not require specific ht.nd ueo
225 FIFTH STREET approval. ELECTRICAL PERMIT ^QtL\d:'fJ\ICATIO\Nq,
SPRINGFIELD, OREGON 97477 zo",~ r ( j
INSPECTION REQUEST: 726-3769 III (" /0/;:' c: Ci ty 'Job Number
OFFICE: 726-3759 Date ~1'V. *
. b"thorlzed s;gnature .'.A.. P\J~ FEE :;;CHEDULE BELOII
\9LLQ,?::gO OF J.NSTALLA~N' 7"\;
f0.r ~ Q Jf\ A Q 0 t- A. Nev Residential-Single or
- """ i -F..n, pee doolli.< ,.il. .. .
\~~~~I Service Included: Items Cost
~~~: ~::~~:~f'~:' ~:~
ttJvork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor /-t-.!f E g~<:::
Address DJ9 /90 ~.Ck-L e:.,..k /ZiJ.
Ci ty~< -""J-.- rrz, Phone crlj (- ::2]7 /
/'
Supervisor License Number 5<)7;).. <;._
Expiration Date
/0-/-9.Y
Constr Contr, Number 6.:2 &.;)- 7'
Expiration Date 3-7'- '7 7
Signature of Supervising Electrician
~:::c4 -..~;:;;-~~
.0IJners Name,,'1 m &Q ~
Ad dress li n I ? _ Cd.-<_{flYhu....- S r-
Ci t~Lu/~ .Phon~O -CRq5
OIINER INSTA~LATIJ{Y A-- 7332..-
The installation is being made on
property I OIJn IJhich is not intended
[or sale. lease or rent.
Ovners Signature:
--------~~--~------------------------
DA Td I ---Lf/ -- / (.? ...
RECEIPT #O~.~,,"; ''- O~3.725
RECEIVED BY: "-.) . iYvctC1~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'DIJelling
Service or Feeder
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
C.
Sum
$ 85.00
'$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch'Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
One Circuit
Each Additional
Ci rcui t or IJi th Servic91
or Feeder Permi t .,..
NeIJ, Alteration or Extension Per Panel
$ 35.00 35 (f)
$ 2.00 B.CO
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
I
not included)
$
$
$
$
It. (5D
'-T~ .
~ '-+-er d. IS
.~ /.;;J~
-!:..;-.:o,. '~q{, . L/'T
40.00
40.00
20.00
36.00