HomeMy WebLinkAboutPermit Electrical 1996-8-30
The following project as submitted hills the
zoning, and dqes not require specific land
approval:
,Zoning M~:"
'Date ~ . ~ · q.w ' ELECTRICAL ,PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, - OREGON
, INSPECTION REQUEST:
OFFICE~ 726-3759
'al0
97477 AuthorlZed Signature
726-3769' , " '
q~d)B:?G
, ,
U tYJol,> NUmber
3. ' COMPLETE FEE SCHEDULE BELO~
1. LOCATION OF INSTALLATION'
930 Q .S\~~,'
A. ,New Residential~Single or '
Multi-Family per ~welling unit.
Service .Inc"luded:, ' ,
LEGAL DESCRIPTION, '
/?~Yr-2~'/~,- ~2~
, -;"
, '
'#~B-:2~WO~~~~c~~ #~
'~ '~//11'~~' 1 7 ~;JIf-:: - ,,~~ ,
Permltsare non-transferable and expl~e
if work is not started within 180 days'
of ,issuance, or if work !s suipended for
180 days. '
Items
Cost
Sum
$ 85.00 '
1000 sq. ft. or less
Each ~dditronal 500
sq. ft or poriion
thereof
, Each Mantif'd aome or
Modular Dwelling ,
Service or Feeder
$ 15.00
$ 40.00
.' . .
. .. .
2. " CONTRACTOR INSTALLATION ONLY
,B. Services ~r Feeders
'Install~tion, Alterations
or Relocation: '
Electrical Contractor ~~~~ '
Address
~$ 50.00
$' 6.0. 00
, $100.00
.$130.00
'$300.00.
$ 40.00
~,
~ 200 amps or less
201 amps ' to . 4,00 amps
401 amps to 600 amps
601' amps to 1000 amps
Over 1000 amps/vol~~
Reconriec t Only,
\ '
PhOne,
City
, I
Supervisor License Number
Expitation Date
"
C. Temporary Se~vices or Feeders'
Installation, Alteration Or Relocation
, '
Constr Contr. Number
$ 40.00
$ 55.00
$ 80.00
200 amp~~T less'
201 amps to 400 ~mps
bver 401 to 600 amps
I
pver 600. amps or 1000 volts see "B" above
Expiration Date"
Signat'ure of Sl!-pervising, ~lectrician
I
Branch Circuits
Owners Name~~UG~~"""'~.
Add~ess\ ~'~ & ??- ~
\
,.
'New, Alterati6n or Extensioh Per Panel
One Circuit '$ 35.00
Ea~h Additional ,
Circ~i~ or wiihService
or FeederPermi t ~ $ 2.00 ,~
r
~i ty ~~ ~ ,Phone ?~? ...~~<. '
, OVNER INSTALLATIW-? '\ ' ' .,
E. Miscellaneous (Service/feeder not included)
~Each 'installation '
Pump" or' irrigation" $ 40.0'0
Sign/Outline, Lighting , $ 40.00-
Li~ited 'En~rgy/Res ' ,I $ 20.00
Limite~ En~rgy/Comm $ 36.00
5~ SUBTOTAL OF ABOVE ~~~~
5% State Surcharge '3_ ~O
3% Administrative Fee '~'.e:,.7:
TOT~ 7 ? y/ '
The installation, is, being mad'e on
prop'er"ty I own, which is not in te~ded
for s~~e, lease or rent.
Ovners 'Signature:
-~' ,/,/ ~~
, _~~__________________2'~____---
DATE: .5< - :?.g .. ~<::
RECRIPT#: -:Z9o/ /
RECEIVED BY: "/) /~
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