HomeMy WebLinkAboutPermit Electrical 1996-12-30
..~_:-:;'Y:>j~~:~~~~'~lt~~~Z.}1.~:~:t.':" 'Th::';~i;~~J~~:l@ct ass~trgrrt6d~~5S t~l~ following'
'..... '. ZOn!flg, and does not roqWr'e specifiC It:, It. use . ',... " ,
225 FIPTB STREET approval. ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97471),;";"'0 . L-Oa- . Oc' d ') I '-
INSPECTION REQUEST: 7~~1~7~l City Job Number--=,.:')O 1\ ~,
OFFICE: 726-3759 D&te-ULV.Q~~.t,-
1. "LOCATION OF INsTtfj~i1&ttnatuie '" "^ 3. COKPLE1:E FEE SCHEDULE BELOV
~hq C\lrtQ~~~( PI~rf' .A~__ ~~~t~=;~:~~~,i~~iS~~fi~i~~--Ui1It..-
_ LEGAL DESgu~ION Service Included:
.brl'"'IY-P ~J'fj) cJ.D{(2'/ ;J.tJ,.dJ/J() 0 Items Cost Sum
JOB DESCRIPTION
Alarm Installation
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
HodularINelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorADT Security Systems or Relocation:
Address 1501 Pearl Street. Suite B
Ci ty Eu~ene. OR Phone 541-342-1ill
Supervisor License Number ..Q4Q JLE
Expiration Date 10LQ1.L9..
Constr Contr. Number S9944
Expiration Date 04/29/97
Signature of Supervising Electrician
,<: -L-//
Ovners Name H () \!"d..eJ' r l^.l,:)c'f~ I<~~ <:
Address ~hq hlAilAr.P Plncp
,'., - J '
City ~.ol("',~\eJl Phone/sy/) ~7il; -L1UJ
\ ~ -
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE;---TY1J()/Zf'tl
RECEIPT t: O...iv I ~ J
RECEIVED BY: ~ . ,yYl ~
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
S 50.00
S 60.00
$100.00
$130.00
$300.00
S 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
S 55.00
$ 80.00
s:?e "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
.tlrcui t or-with Service
or Feeder Permit
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 35.00
$ 2.00
not included)
1
$ 40.00
$ 40.00
$ 20.00
$ 36.00
16.00
3().QQ
1.80
1.08
38.88