HomeMy WebLinkAboutPermit Electrical 1996-1-31
.
.
. b mod ha9lhe following
The followln9 prO\eclctaSq.~lr:s"""mC land use
zoning. and does n fa t"......~
approval.. J [)?
ZOnlno ~ -
97 "".,. l- -:l, i '?f &
7 2,(i.rt~~!ld SIgnatUre
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
(l4n
3.
1. L\a~f! ~~NNYt~~5 A.
.1i~&~I"\8MXJ
. . ~ - .>. .
h J~.ll~CRIP'f\I~\ LI f\ . --1:-
~_\~ {\U.~"'-T-U,^~lILD
Permi ts l~ n'on-transferable and expire'
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
City
Contractor / ~
/ Phone /
L' ~se Number ' /
~
Expiratia
/.
Con~ Contr. Number
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
RECEIPT #: 1\. J
..........................u... nv. v
ELECTRICAL PERMIT APPLICATION
Q lo()lZ.h
~ Job Number
,'.
COMPLETE 'FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less 5 85.00
Each additional 500
sq. ft or portion
thereof 5 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 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
\
m-
5 50.00
5 60.00
5100.00
$130.00
5300.00
5 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation'
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
E.
,5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
~~~~e~~,El~ctrician
Owners Name 6'A~vn f'\\\~MM~.(~irCUits
. New, Alteration or Extension Per Panel
Address /;z.~ r I1L,//rL ,., ,... ('r;-
, I One Circuit
City ..st7I'hr. fi f' 1..1 PhonJ ~ij?'IL-!>-~7../ Each Addi tional
I / . 1 ' Circui t or wi th Service,\
OVNER INSTALLATION or Feeder Permit ~ 5 2.00
5 40.00
5 55.00
5 80.00
see "B" above
"
$ 35.00
~
no t included)
5 40.00
5 40.00
5 20.00
5 36.00
~~
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