HomeMy WebLinkAboutPermit Electrical 1996-4-8
1;io:Y
,/I'.r.iT"
'brniltoo h&s thE; follev,
The fQ!!Q'i/ir:g pl:ol.SclotaG ~~ire speciiic land U!3e
zon\nfl, ana does n r ~-..,
app.'oval., If) 10 )
L7:J~fr .~
97477 Date ./\I!
726-3'7..69JrizadS\gnature (0., r' \,,1 ty Job Number
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9 S/?//
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
7 /-;g .~A')T ~~/~ ? ali
LEGAL DESCRIPTION
I 70""$ 2- ~ t"rt'-:J C)/ bD 3
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
Sum
Items Cost
$ 85.00
1000 sq. ft. or les.s
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
~1~D LV/A/et:lC
$ 15.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contractor
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Address
Phone
City
Supervisor License Number
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
200' amps"oT 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
Expiration .Date
.Signature of Supervising Electrician
''\
'_I D. Branch Circui ts,
Owners Name QaJ(\C1J StlAVe.. ' , , ' ,.
. - I \n, I u~b-In ~cUla..~ew, Alteration or Extension Per Panel
Address q-~ MJ~w..J rcu...v~ofQ. OR. ~
, ~'l ' One Circuit $ 35.00
Ci ty 'lnrJ(\~l1eId Phone 14f.~2..4?P Each Addi tional ,
~' 0 Circui~ or with Service
OVNER INSTALLATION or Feeder Permit $ 2.00
\. The installation is being made on
property I own which is not intended
for sale, lease or rent.
l, ?""ers SiZ'
~DA~--------~~~-~--------
RECEIPT #: . "2.i' 08 7
RECEIVED BY: ~~
(
I
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ~ $ 20.00 ~
Limited Energy/Comm $ 36.00
2f)~
01)
J~
, ,6tJ
-2/,~
'5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
'TOTAL