Loading...
HomeMy WebLinkAboutPermit Electrical 1996-6-11 The, following project as submitted has the following zoning, and does not require specific land use appiOval. Zoninp LDe. 97471Jate v./4 .C((p 726-3769 AutnoJ'lzed Signature ELECTRICAL PERMIT APPLICATION City Job Nwnber9S047c; 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 rnvl" COMPLETE FEE SCHEDULE BELOV 3. 1. LOCATION OF INSTALLATION .~q~ ALLrlAJ.A LEGAL DESCRIPTION 9 (1 () rl 3 I Lf 'f OD tJtJ A ~OB DESCRIf.T TIIOONN /IJCUJ I~ New Residential-Single or Multi-Family per dwelling unit. Service Included: A. iJfD Cost Items $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion Lll thereof I Each Manuf'd Home or Modular Dwelling Service or Feeder Ir.z 01J Services or Feeders Installation, Alterations or Relocation: 141 $ 15.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Electrical contJ:acto~~~ -cc.\.cl- Address\~CCD ~~I~' ' - ~one ~\.NJo\ Supervisor Li ense Number ~<-\\1-~ Expiration Date \O.\.qs Constr Contr. Numb~r C\l ~03 6' ?~~~qlr ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 S 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only City Temporary Services or Feeders Installation, Alteration or Relocation C. 200 amps"oT less S 40.00 , 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Expiration Date Signature of Supervising Electrician C)_t~~~ Owners Name f ltt1A Le..lJ CnLv Addres~q V S+h.v.J' Ci t~e.. Phone 7 ~ (, ... 50'-19 , Branch Circuits D. ,. New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 OVNER INSTALLATION 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~.ITD 3% Administrative Fee ~,~ TOTAL tfi~ [l1J The installation is being made on property I own which is not intended tor sale, lease or rent. Owners Signature: ------------------C?~----------------- . DATE: '(~, ~~ - J'7T a-/I~ct& RECEIPT #: 2-{~K- (~, . RECEIVED BY: /7 ~ J11~C!hr-.-dCJ