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