HomeMy WebLinkAboutPermit Electrical 1996-9-12
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
974'i'jhorlz.&d Signature
726-3769
1. .~~(M~t'tVoo~ \ \J~-
l-tf)~ ~~ION t:J'Ion I
.
Q JOB DESCRIPTION \ ~
n ( A,~^ +<:.) (\ U\('A, ,-hJ
Permits a>~ non-transferable and expire
if vork is ot started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~f\ l~{)\~:::;J'\()~
AddressJn~~ 0pr\~\ \\lDd .
City S'D~O_ Phone~
Supervisor License Number ~~{)S
\\\. \ .C\ 'I .
Constr Contr. Number \\1L~
h.~,CVl
Expiration Date
Expiration Date
Signa~~~~~~ician
. ow~ NameJJ~i1JJ0 ~ ('-OYD
Address ?AA) ~ -~CU(i~,y \hO.t'l )
Ci ty ~ rl Phone ~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~:~-:~-----~-:---~'~1J-~~-~~
RECEIVED BY: d\\/~l_j' ~
ELECTRICAL PERMI'h APPLICATIOp-)
Ci tyJob Numb,;,r V\ \orR.q ~
3. COMPLETE FEE SCHEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof '$ 15.00
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder $ 40.00
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
t)O
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 01" 1000 vol ts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circui t or vi th Service~
or Feedel' Permi t I \, 1 $
$ 35.00
2.00 3D
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
~OoO
4. J
?d'~5
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL