HomeMy WebLinkAboutPermit Electrical 1996-4-16
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z0n~;;9, and does not roquire specific land us~
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning ,_ OIL
9747P.t.~. (p
726-All~~zod Signature ~ In CitY:Ob Number
3. ' COMPLETE FEE SCHEDULE
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
\ \~y . ~. }) ~Installation, Alterations
Electrical Contractor~Il' r{l7-\f' , '(~\1Pfuec\or Relocation:
Addres's \)() ~ \\ \ _. . 200 amps or less
\.\1\ \~ .\\ 14IoLlt\Ad." 201 amps to 400 amps
Ci ty.ll\ \wf\/\ P Phone '1lJ\Ci 401 ampS to. 600 amps
':t "':l.(,\ <1 601 amps to 1000 amps
Supervisor. License Number -J~lD~ Over 1000 amps/volts
\\"-. . \ . Reconnec t Only
Expiration Date \ )
Constr Contr. Number \Q~
1. LOCATION OF INSTALLATI%-
/'26? ~Af/..N" --7J", /7"-$5
LEGAL DESCRIPTION
/ 7'<?~ -'3~ 0/ / . .!:'Sl!::>&>O
r
JOB DESCRIPT~N ~
- ~0'r,.z-- /~~ 7M/~ 5'<
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
~.\~.
Sign~r~ ofsuperv~sing Electrician
~,fa.z;A
ow~ers Name C:;?~" fir ~ ;::~AH
Address
City Phone
OllNER INSTALLATION
The installation is being made on
property I owri which is not intended
(or sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: LI-~~'~
RECEIPT l!: .~ =7 ,.-
RECEIVED BY: E;(/~
~
ELECTRICAL PERMIT APPLICATION
-:7b~ S.< >
BELO\1
'*
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
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
I $ 40.00 y.c7
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Cit.cu i t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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
5. SUBTOTAL OF ABOVE ~~. ~
5% S ta te Surcharge . "2"-"'"
3% Administrative Fee /,:2 &>
TOTAL' ~ ':'7(2
(. -