Loading...
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