HomeMy WebLinkAboutPermit Electrical 1996-10-14
I . .~
~ SPRINGFIELD
. .
','
lomng, 8, n ces not roquire specific land ,~...
approva . uo;;rv
~,nTt{I(p t> It- ELECTRICAL PERMIT APPLICATION
9747ili>\o-/llCf <' q 3 q
726J<J.~&f~ed Slgnatura J. 111 ~ ty Job Number 0 I ' {,t7
3. COMPLETE FEE SCHEDULE BELaV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCAT~ON OF INSTALLATION
'7'f()WJ\t?~ l AlJe A.
.l.E\lAL DES~~N
~Stc\e:I\CP... . . 2.. D5 ;)d-. D07D6
JOB DESCR;[PTION
-11h~"" TI\"~\\or,~,,,
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular, 'Dvelling
Service or Feeder
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor..A!l'T' c:.,a,.,,-r; ~~T ~~To;;!t"...ems or Relocation:
Address 1501 Pearl Street. Suite B
Ci ty Eugene. OR
Phone 541-342-1313
Supervisor License Number 'qljq ,JLE
Expiration Date 10/01/96
Constr Contr. Number 59944
Expiration Date 04/29/97
Signature of Supervising Electrician
e.--LI~
Ovners Name ~"\\IC,w.. <\ ~;O\...f~J-O"'\\
I
Address~o Pn~o+ l'h\>-:
Ci ty ~~f.; p'U Phone '14'7-- I::>,!i'''i
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~.
---------------------------------------
DATE: to- 1'-1-1<"
RECEIPT I: ()d--.!:. 47/
RECEIVED BY: n. fYl~(',hao//()
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
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BIf above
"
Nev, Alteration or Extension Per Panel
5_
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 ?n nn
Limited Energy/Comm $ 36.00
20.00
1.00
.60
21.fin