HomeMy WebLinkAboutPermit Electrical 1996-10-4
The following project as oubmitlod has the 10110
zoning. end doea not require specific land u:sa
approval.
Zonina C G
225 FIFTH STREET Delle mA- ~
SPRINGFIELD, OREGON 97477 -
INSPECTION REQUEST: 726_3~'6'!Iortzed Slgnalure
OFFICE: 726-3759
~~~~\mur~~~f..,
J:iD~it~ION 01-7-/:)\ .
~I\
ELECTRICAL PERMIT APPLI~TlO~
;;~'J ';~b Number Q.\.O\~~
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
'-.Jejp DESCRIPTION
~Ir)\r ~ . .
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Ci ty e3'\'L.\ll6-{
su'per.visor icense Number Lj S'l
Expiration Date ~
Constr Contr. Number \..Q 4\0\ ~
2>.G\.C\"1
Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: 1.,0.= ~ - GJ I ~
RECEIPT ~: ( hl..?.::sV I .
RECEIVED BY: l\. lY\1.L U-t'.4'1O
SUfil
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
S 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80:00
Over 600 amps or 1000 volts see "B" above
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Ligh t ing I
Limited Energy/Res
Limited Energy/Comm
Signature of Supervising Electrician
~~~
i" , -"~~. _ ^ . D. Branch Circui ts
Ovners Namell)\ .~)~~
Abt l~\I\"~""+-(\-: Nev, Alteration or Extension Per Panel
Address'Y..~~" u.t\\~,l)O.J One Circuit $ 35.00
Ci tY~~PhOne f) ~.I~l() Each Addi tional
n" Circuit or vith Service
OVNER I TAL \Jrl or Feeder Permit
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
'.
.'
$
2.00
no t included)
40.00
40.00
20.00
36.00
$
$
$
$
1~
AiL
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