HomeMy WebLinkAboutPermit Electrical 1996-11-19
The following pro'eel '
zoning and does1 as su.bmrttf'd rn:e th~ fo;'
approv~l. not require SPtci1j~ l~nd l'~~
Zonino (..t" /
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
[', ) I-/d_t:y-Cf-
97477
726_3'16if"'Cd Sign",uro
1.' LOCATION OF INSTALLATION
7'2. {) 7., 0 I '1'/'1?pj c A /f
LEGAL DESCRIPTION
1)-4' ~ -::;>JS- C/ /' / If:) / /~e>
JOB DESCRIPTION
...f.h.A-1II J f"': Jj , <'fJ . 0- '1.,4-( n >
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~)_ )Dl<f~~,
Address ~~ N w ~ I sr .A 1/.
City _Pc.erCA7vc/, oR: Phone 0122 7-7f!J(, 7
Supervisor License Number 73/55.s
Expiration Date 10-/-96
Constr Contr. Number e::,L/ 5(,. 7
Expiration Date_ 3.,.1'-1-'17
Si;;~f S~A)Electrician
Owners Name
..
BoB ShIM/J
;
O/Y/'7/r A,/
72~,;-i.fB7Y'
Address
2'303
City S/lIZI;j'7n:Jd Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale; lease or rent.
Owners Signature:
---------------------------------------
DATE: //-t!3~-
RECEIPT II: 2<:J~C;-
RECEIVED BY: /' /'.......~ ~
$C/
JiM
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 96/~""'----:
3. COMPLETE FEE SCHEDULE BELOll
A. New 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 'Dwelling ~ :$
Service or Feeder 40.00
B. Services or Feeders
Installation, Alterations
or Reloca t ion:
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see lIB" above
D~
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit .-L $ 35.00 35"'::-
Each Additional
Circuit or with Service '-/~
or Feeder Permit '2. $ 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
Limi ted Energy /Comm I $ 36.00 3" ~..:.:-
5. SUBTOTAL OF ABOVE ~.
5% State Surcharge '3.25"'
3% Administrative Fee ~ 7.Z~-
TOTAL ~/. '-1:>