HomeMy WebLinkAboutPermit Electrical 1996-10-18
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SPRINGFIELD
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zo~jn~. and does not require spEiCIIl..i
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225 FIFTH STREET - . \"0 rJ "^ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGONA9'7~j70 "'01;0"' -
INSPECTION REQUEST: 726-3769 City Job Number q~ 0 f7d-..
OFFICE: 726-3759
1. LOCATION OF INSTAL.l.AT~OPo D
Gffo 'f 0 L D 0 V<.Ctl 'h.
L.N.
LEGAL DESCRIPTION
/7n~ ~~43 ~//OV
J.9B DESCRIP;:tION '.0 n
C'~veo lJ('ew\ 1~
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor_ eVCitd~Js 1/.,' fl'
Address 9l.{':l
Ci ty cS""Q~
,
Supervisor License
()L,\J~
Phone 3'1C{-~').8 7
Number
-
Expiration Date
Cons tr Con tr. Number (Q {L{ I 5,'
'7/r~/'i'7
/
Sign~~~~ing Electrician
. ;-- L ItJ? I'd .."
Oyners Name~AJL ~
Address }~73 K,'(j-erll,J~~ /Jr.
Ci ty G. _. ~...J} Phone1'5f<.' -::31 '7 C,
oVNER"lNSTAL~TION -
Expiration Date
The installation is being made on
property I ovn yhich is not intended
for sale, lease or rent.
Owners Signature:
-------~---------~-----------------
DATE:/<-J--: I 0'-- . Co . .
RECEIPT jI:O:~.sS d
RP.r.P.TVED BY: rJ. /YJN(7h~/!../)
3. COMPLETE FEE SCHEDULE BELOV
A.
Ney Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cas t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
$ 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 ~. 61)
5% State Surcharge 1.11 <:J
3% Administrative Fee ,(, 0
TOTAL ;:)/. '/4 0
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit