Loading...
HomeMy WebLinkAboutPermit Electrical 1996-4-19 S.CFIELD The following project as submitted has the fcf! zoning, and does not require specific land use approval. . 0 . zrina ffi I"'V 225 FIFTH STREET Date_Lt,'. ~(Cl q / /7 ELECTRICAL PERMIT APP~~_ SPRINGFIELD, OREGON 97477 Y' (\~\I .~ INSPECTION REQUEST: 726-3lkl!,orlzed Signature ~().. Ci ty Job Number V\~) \ OFFICE: 726-3759 3. OMP.LETE FEE SCHEDULE BELOIl 1. LOCATION OF INSTALLATION ()(l.EloW "" E. T\'LO 2J,sS' ()LV ~ Pi C STI'Z.fr:( \\~~PTIO~\Cff2- JOB DESCRIPTION \ (\c.,ra. \ \ " \ \ \1m, 1Y1,,(\\ lrnen t "\'~Y'') Permits are non-transferable and expire if work is not started within' 180 days of issuance o. if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor_t:.c,.... AJ IN<" Address 12\0 OA t.\>A'TtJ+ eo Ci ty f.1.A~f'I'1e.., . Phone LlP,C:;.S<::;Li~ Supervisor License Number Sqo Sllo Elfpiration Date \O-(-'1t" Constr Contr. Numbe. 1,1 \ z..C6~ Expi.ation Date ;?-;;:2-qfl 7~ ~iSing Electrician v D. Ollne.s Name,i')Q.E'=>O,J \-\~i"E.D (iQ:)11 UoJID,l Address 13l.'2. ~El.. tx- City ~(,E.I0t<. Phone C;'O'tl- ')IY'1 OVNER INSTALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~-----~4-t:t;-;~---_.: 5. RECEIPT #:' ~. ~1;5- ZlJ 07 RECEIVED BY: _ 1/1: ~. '>J \....~l,... A. New Residential-Single or Multi-Family per dwelling 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'Dwelling Service or Feeder .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 $ 85.00 $ 15.00 $ 40.00 .' $ 50.00 " $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Tempora.y Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps o. 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "BIl above , " New, Alte.ation or Extension Per Panel One Circuit Each Additional Circuit o. with Service or Feeder Permit $ 35.00 " $ 2.00 . . . . . not lncluded) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL . , $ 40.00 $ 40.00 $ 20.00 $ 36.00 W- ~~ ~) ~ t}{b