HomeMy WebLinkAboutPermit Electrical 1996-2-9
"
t. ~'-.,
"'- ....~-_.._-
, - ----"-
. ,
\
}.;.-
Th.. following proiect
ZO!1i;l;J, and doe~' n~ as a~bmlt!ed b:.'1s the.
~:PPI"(.>V1.,i. - r.3Qlllfe sPecific Ie.nd Use
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477. ZOiliniLL D K
INSPECTION REQUEST: 726-376:9trte ~,'1/ a/- Ci ty Job Number 9 foOJ ? 5'
OFFICE: 726-3759 -!--l-~ 1
Authorized Signature 35 ICOMPLETE FEE SCHEDULE BELOV
1. LOCATIpN OF INSTALLATION 1- -
'--:<75 -/ltL~J) Al'l=JtJu e A. New Residential-Single or
Multi-Family per dw~lling unit.
Service Included:
LEGAL DESCRIPTION
/.7& ~3 ~ "\
t) '1' It i:J-:)...
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor ADT Secur1tv Sy~ms or Relocation:
Address 1501 Pearl Street. Sl~P R
Ci ty Eugene. OR
Phone 541-1L.?-111..1
Supervisor License NumberR1777JLF
Expiration Date 10/01/Q6
Constr Contr. Number 59944
Expiration Date~Q/Qn
Signature of Supervising Electrician
/' ---r~~ /r k.L~
~ s - Name.1QDJ) ~(> /..f::f:IL.J c... IJ) EJ.-6 Ll-J:'Q D.
Addressd.1.~ .rfupJ AvelUu.b
Ci ~;::-~ 1) /C, Q7J.7JPhone../')4!.....14r::,. ~,!q~
OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------~-7<,~-----------
DATE: ":2./ 5'/ p~ '
RECEIPT t: ~ :<: 4- /
RECEIVED .BY: ,.i~ '
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
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
Bra~ch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
Miscellaneous (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
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
20.0Q
"
1
20.00
1.00
.60
?1 f.O