HomeMy WebLinkAboutPermit Electrical 1996-2-26 (2)
.
. .
Zoning (il e..-
225 FIFTH STREET O"t.~::2 - 1_
SPRINGFIELD, OREGON 97477 ~
INSPECTION REQUEST: 726-37b9'lori;: SigI1d1Jnl c..., D
OFFICE: 726-3759 -- \
3. COMPLETE FEE SCHEDULE BELOV
,~
1, LOCATION OF INSTALLATION
""9lJ -r:\<.l,c:,ui2At..\(~ III \ hotr.wQj~
\~~1\~
JOB DESCRIPTION
InS\-t:\\ '.II11r)"l',nc..\vl mulh'-SidW
~rGG:::>\-c;.f'lJ,f"') ::,\'{)
Permits are non-transferaole and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor F.c,tA, .1'tJc..
Address 1210 ()A \c ()A .GI-I t<.D
Ci ty ~U~:{,flL Phone L..jRS-~U(P
Supervisor Licensf' Number 5'1 D 5 I b
( 10' , """Q71'':
Expiration Date ,:'",1'-' W
Constr Contr. Number_, \ jU'20c.:.
Expiration Date '1.../'1.- q,
Signature of Supervisirig Electrician
aj~txjlvA/
Owners Name 'l\PD .:1'NSUQAIJCE .TIJL
,
Address 3171 G:.A'lEl<JAj GoeP
Ci ty :Sor\(Vr"'(,\J. Phone 7i.1/-osrD
....J
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
-------------------~~~r~~- ---------
DATE: I g;;un .
RECEIPT 11:-11_', .
RECEIVED BY: ~_) ,
ELECTRICAL PERMIT APPLICATION
City Job Number C\ :i)\O~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
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
$ 85.00
$ 15.00
$ 40.00
$ 50,00
S 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 "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOut1ine Lighting \ '
Limited EnergylRes
Limited Energy/Comm
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$
$
$
$
4Q{P
AlVJ
~
40.00
40.00
20.00
36.00
~