HomeMy WebLinkAboutPermit Electrical 1996-3-4
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The,l",lIowing project as .ubmlttad hae tho followl
zoning, and doe. not require epoc~lo land UIlO
approval.
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477... Zonin;1 L'DR
INSPECTION REQUEST: 726o;}.~69 3-'-1.:::5 it;
OFFICE: 726-3759
9..p
A.
Authorized Signature
1. LOCATION AJ' INST~LATION
~~ <L fuF CU(;>-s~l'>m ..J)e.
LEGAL DESCRIFTION
/7vP~ ~.// . L:)~2~
,
JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days,
City Job Number ~..2""7'0/"
COMPLETE FEE SCHEDULE BELOV
Ney Residential-Single or
Multi-Family per dyelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular.Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor ADT Spl:.\1Li'v SVQtems or Relocation:
Address 1501 Pearl StrRR~_ ~,t,P R
Ci ty Eultene. OR
Phone _~1.1-11. 7_111'.
,
Supervisor License Number R1777.TT.F
Expiration Date 10101/Qh
Constr Contr. Number 59944
Expiration Date Ol./7QlQh
Signature of Supervising Electrician
/' t..../ ? '-..J. /n_~
~s Name(1uzr b:JfttJE . <:',mdLEn D.
Address._"'" ....4- RoSol=- 6Li'>"'.,,-,,1Yl IJPi/JE
Q )<1-77
Cit~Il~&:;eLi) tdL PhO,le 54/. N-7.f%,s
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 7~ ~.CX::
RECEIPT f: ~o::5v~
RECEIVED BY: ....--z,..-~'- .-
,.r .
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res 1 $ 20.00 ~
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
I.QO
.60
71 (in