HomeMy WebLinkAboutPermit Electrical 1996-9-13
,..'"
.
.
$PQINGF'll:!LO
I~.'
The following project as oubmltted has the followl
zoning, and dues not require specific land use
opplovol.
Zoning (V
Dote t:t. I ? .q c."
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9 7 4 7 dulhorlzcd Signature
726-3769
1. LOCATION OF INSTALLATION
/~ L/'7 IJ?fJUJ sr:
LEGAL DESCRIPIION
ljO 33 " 3 IV&; (/J ()()
JO~BESCRIP1ION .~
"OaellTf7h1~ (JYCljIl~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 'H+,uf'5> b.ez.T'ft..c..
Address..=3/7D m~F+Dow L.N
Ci ty (::u.t'71~1:?' Phone _(,./i?~ -Id I ;L(
Supervisor License Number 2 7/c;.=,
Expiration Date /0/1(.,
Constr Contr. Number 2o-)'79C
Expiration Date /0/1<'"
Signature ~superViSi~g Electrician
^'''TH.....,i.P~
Owners Name \Iv. F:/lJ/I::."'""'0-PePI-:-c:"
f ,/
Address 3/2-1 h~VI ,..)L., llJ ".)
Ci ty EUhtNG Phone '7'1{,,~Zl
OYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
~A~E;~--~-j;-~~~--------------------
RECEIPT jI: ;L;;S/I:J'i('
RECEIVED BY: l.h
ELECTRICAL PERMIT APPLICATION
nVl
':::-J Job Number
9/oD 7o;z.,
*
3.
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
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
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 volts see "B" above
D.
Branch Circuits .
E.
Nev, Alteration or Extension Per Panel
51;:; /::; r<c-Zl-'" p. f'\ ,Z.191 ^-
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t .~ 7_ $ 2. 00 ~
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
/.,'4 oll
::.<;;>C)
I">;'"
fo~''''