HomeMy WebLinkAboutPermit Electrical 1996-5-3 (2)
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SPR.~IELn
The, following project as submitted has the folio
zOfeJng, and does not require specific lond U80
approval. .. 0 U In
Zoning CJ'..- ''--
97477D.te~
726-l"l~9r1z.J Slghe;ure
225 FIFTH STREET
SPRINGFIELD. OREGON
INSPECTION REQUEST:
. OFFICE: 726-3759
ELECTRICAL PEHI1IT APPLICATIlf\
S \0 City Job NumbE,r QLo~ I
3. ~OMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
. n 7 I Pi) e.s lliJ..A
A. Ne'" Residen t ial-Single or
Multi-Family per d",elling unit.
Service Included:
\~mPT~ro
.
JOB DESCRIPTION _ ~ 1\. , ^. _ '.t-.
~R..V,(;l!:' rUJ,J6c q'-..J L.,U\~
Permits are non-transferable and expire
if ",ork is not started ",ithin 180 days
of issuance or if ",ork is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Cont~actor i~E. r,is E~c~c.
Address / 7 t.{ ALl-eN A u e
City .5 PxmtrFieL(L Phone 7#7-/7/!J-
Supervisor License Number
'2../ ~ 5
9g
Expiration Date
/ f') - / -
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 10".3 7-z...
Expiration Date
1 -7- q7
Sc::2~f ~~r~ician
O",ners Name uJ--./-: /"/A~e;J
Address .<:f7/ 1:::'1!I/L~Yn,;A
Ci ty ,<, i>K.,tJ {'Met () Phone 7 '1( - g 7.r7
01lNER INSTALLATION
The installation is being made on
property I o"'n ",hich is not intended
for sale, lease or rent.
Owners Signature:
DA~E~-----------~-----~~~~~---
RECEIPT 11:~, ' 1\ \'l-~
RECEIVED BY: '-=I'lli. ~ Q\. \ u
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular 'D",elling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
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
Items Cost
Sum
$ 85.00
$ 15,00
$ 40.00
/
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
_ .e
~
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
.-
Ne",. Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or ",ith Service
or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 (.~
not' included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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