HomeMy WebLinkAboutPermit Electrical 1996-1-29
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The following project as .ubmltled~"-S tho 101
zoning, and does not reqUlro r.pcci1lc Innd us
225 FIFTH STREET approval. ELECTRICAL PEIUlIT APPL\C~T ~
SPRINGFIELD, OREGON 97477 ZOning.fl) r;?C,.; (15
INSPEctION REQUEST: 726-3769 I ....,01 <::::;h . Ci ty Job Number V\
OFFICB: 726-3759 Date - 0/ /- I
1. ),O~N(~ INST~' Igz/'ulhortzed Signature 3~PI..""''' """ ~CHEDULE BELOII
~l"'>'C)-;-)\ At ~ Q' ) A. Ney Residential-Single or
- - Hulti-Family per dwelling unit.
\1~~~PT()\C:()7_ Service Included: Items Cost
~ ~~B~~O~~
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
,
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty ElIGENE
Phone 4R<;-nQ~?
Supervisor Licen~e Number ~7n~
Expi'ration Date 1O/l/9/P
Constr Contr. Number 04295' ,..
..
Expi'ra t ion 'Da te
12/l0/~
Si;;;;:upnZician
Oyners Name ~ N\OWD (l,U
Address PkL ~~\L
City b ~ Phone 4\4fJ2-
OVNER I~STALi.ATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:-------------~~]Jt~T-----------
RECEIPT I: \ .\\ . ~\
RECEIVED BY: ~'\.\jj) ~ J .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Hanuf'd Home or
Hodular Dllelling
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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 1m
$ 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
D.
Branch Circuits
$ 40.00
$ 55;00
$ 80.00
volts see "8"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servi~"
or Feeder Permit ~ $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
2.00
PO
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
I~n~.
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