HomeMy WebLinkAboutPermit Electrical 1996-9-17
.
. SP".NGFIELO
The following project llIlaublT1itled, has the followl
zCiling, and does not roquire specIfic land use
api'ioval. I'
Zonina t. V
9747])"'-e ~\.:::l11f
726-3769 __ S' t
AuthOrlZuv tgna ure
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF ....,INSTALLATIO!j,
/?J3q /-?~-v #,,,4-,
_. (
LEGAL DESCRIPTION
/7n:s Zc:;.,. L "3 ~2. 301
JOB DESCRIPTION J
~7:4'~j.J-L..
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 B.
Electrical Contractor ~p \ \~()\r\:=s fl nd
Address~ 0p~\ \\1Dd .
Ci ty tA 'f.tWo~ Phone M?J.J1ftl
Supervisor tlcense Number ~C{l0~_
\(\ \.
Constr Contr. Number \\'L~_
~.~:
Expiration Date
Expiration Date
signatur~f Superv~si~ectrician
~~/~--~
- ovne~me~C/( n; //AUn__
Address ~ .R?4/,e'~....ee ~
Ci ty
Phone ~f!!j7-2e.;L(
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovoers Signature:
--------------1A- -;-~----------------
DATE:_ _ /S[l~
RECEIPT b: ' ;:/ '<:('7fB
RECEIVED BY: ~/:?L.._
ELECTRICAL PERMIT APPLICATION
3.
City Job Numb~r /'C:. / 2.14-
/
COMPLETE FEE SCHEDULE BELOV
'7!v'\
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular -Dvelling
Service or Feeder
$ 85.00
'$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amI's 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 $ 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
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Pe,-mi t 2..
'<'.5"6-0
<--
S 35.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
~60
I
not included)
$
2.00
S 40.00
$ 40.00
$ 20.00
S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S)~
1,95"
i.n
.-4.7.1oL
I