HomeMy WebLinkAboutPermit Electrical 1996-3-15
.
SPA'-FIELD
The io\!owlng project ao oubmitted has lh<
zoning, and does not require specific land
approval,
Zoning rI, f)z.,; ELECTRICAL PERMIT NPLICAT~ r-J...
9~~~~376~ate~~ Ci ty Job Number V\\Om u
AuthorlzOd SIgnature '" ___ ___
3., 0 LETE I' J;t: bl;IlliDULE BELOV
LOCATIO~F INSTALLATION",
q;). Cj' k'iver knoll VJ(UJ A. New Residential-Single or
J Multi-Family per dwelling unit.
~1l~Pct"3~6\ro~ Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
JOB DESCRIPTION
eleciJri~.a D re<;; ae.Yrt:.ICll
Permits are non-transferable 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~ ~r~
Address gqcV7Co Lxi.y WneJ
City E.l)q~e" Phonele8?:.-Q~
~
Supervisor License Number 15~ '2> S
Expiration Date /0/1 Jqf!j
Constr Contr. Number 5#31
Expiration Date q/BO/qe
Signat~Supervising Electrician
//~~-/~ R~
Owners Name ~e>ty)e.. 'Rl,jda~s AS<:/"L;,
Address f~ 5 5 vearl St s.u;h 100
Ci ty E OJ' 0 R... Phone 4-64- S3.5.,),
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~------------n-----~~~cs~~l~-
RECEIPT 11: r--t\I/\" "\ a~
RECEIVED BY:~\....,L,....,l..G1: V
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
Items
Sum
Cost
$ 85.00 ~5QJZ
$ 15.00 $Oe...'!...'
$ 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
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with 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
/ /5"e9-
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