HomeMy WebLinkAboutPermit Electrical 1996-3-5
. 13-1P - ,p- '9 ~ 1(, 1 J!- 'Ubmittacl has the following
The following prOie~ ~~uire spacKle land uGO
zoning, and does n
225 FIFTH STREET approval. fJ ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning \.....: .
INSPECTION ~QUEST: 726-3769 --:>~=::\111 ~ City Job Number 95/6"'/2
OFFICE: 726-3759 Oroe ~\.)\ '
. . ; ;ed SignatUl'El_J ,~r~:..:rPE'-t.t..t. "SCHEDULE BELOY
1. LOCATION OF INSTALLATIO~ut 0 .
/ 03 ///~ d2 S'l- s;o.h A. New Residential-Single or
~ Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
//-c:>:r-:??'~/ ~ .Q'd/~c.? Items Cost Sum
. - r . /
JOB DESCRIPTION 1000 sq.ft. or less $ 85.00
,/~ ('!iO?1SH-av'OM Each addi tional 500
sq. ft or portion
Permits are non-transferable and expire thereof .$ 15.00
if work is not started vithin 180 days Each Manuf'd Home or
of issuance ot if work is suspended for Modular Dwelling
180 days. . Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con tractor 7'7-1t?I(VToJ etEi::7/(/C'
Address p.. c!), 13*- 60'/-1
Ci tyE-Uq. Phone 102(p.-1b;)~
-J
Supervisor License N~mber 301 7 ~
Expiration Date 1& t" 1- 9' 6-
Constr Contr. Number <!;).J5roO
,
Expiration Dat:e /c!J--r-C)?-
Signature o~~an
'~-I , D.
.owners Name?~~,~7.r~~
Address '2~.~Cr.B'/~./Y'~
City 6'~~~e Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended'
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
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.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps I $ 60.00 4;:> C> ~
401 amps to 600.amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps'~T less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00 Lfc9-
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additionai
Circuit or with Service
- $ ~c::> ,-...
or Feeder Permi t '/ 6 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
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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