HomeMy WebLinkAboutPermit Electrical 1996-3-8
The following project as 5ubmlt1ed has tho fell
zoning, 'and does rfot roquire specific lend use
approval. )
Zonina h I
225 FIFTH STREET --6 I' if cit .
SPRINGFIELD, OREGON 97477 Dote C> ~lp
INSPECTION REOlJEST: 726-37~_~gnatu'"
OFFICE: 726-3759
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c:::.. JOB Of.l.S~PTION,1 '"
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Permits are non-transferable and expire
if york is not started vi thin lBO days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT NPLICATIONyj .
.fJ.--i) r.i <v' T"O Number \A ~De., ~V
I
COMPLETE FEE SCHEDULE BELOV
3.
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
\ '^Y . fl. f\ -I-Installation, Alterations
Electrical ContractorM' pCl7-~e, ,,~\W( Ueo or Relocation:
Addre~'s \)(') ~ \\ \ _. '. 200 amps or less
\. "^ L ':\\1"\ l410 J\t\.AGI' 201 amps to 400 amps
Ci ty.lU..,' \-Wf\Jlut:... Phone '1l.Ji"D 401 amps to 600 amps'
'l. 'J.('\ Q 601 amps to 1000 amps
Supervisor. License Number ~~lD~ Over 1000 amps/volts
\l". . \ . Reconnec t Only
Expiration Date \ )
Constr Contr. Number \O~
Expiration Date
~.\~.
Signature of Supervising Electrician
Il<-f (f)~
Ovners Name If\o,,)\~~..\W''l-;:'' \rt )S,C
Address Wl A-~ ~fh\LCL.--
Ci ty 1ffio\ \ )L' J$one
OIINER INSTALLATION
The installation is being made on
property I OIJn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: ~b' ~
RECEIPT () &7 4s
RECEIVED BY: /o..J. ry\f'(4/~~
C_
Sum
$ 85.00
'$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
D_
NeIJ, Alteration or Extension Per Panel
One Circuit
Each Additional
Cil-cuit 01. IJith Servicet::::.
oc Feedec Pecmit ~ $
E.
Miscellaneous (Service/feedec
-Each installation
Pump or iccigation
Sign/Outline Lighting
Limited Energy/Res -----
Limited Enecgy/Comm _____
5.
SUBTOTAL OF ABOVE
5% State Surchacge
3% Administrative Fee
TOTAL'
I
$ 35.00
35.
2.00
ill
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~~
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