Loading...
HomeMy WebLinkAboutPermit Electrical 1996-5-1 ....-" ~!' . . brn~ M% \~ 1~\\~_ The.ioUowlng proie~ as~~l~ @@.@\1i~ IAfW! "~ zorllng. and does n.... f""" ' - approval. , r2.--- 914;' Z;l L~f} ~J), ELECTRICAL PERMIT APPLICATION 7~h6t'1~ 9 1ure ~'T'-city Job Number 9& Or) / () 3. COMPLETE FEE SCHEDULE BELOY 225 FIFTH STREET SPRINGFIELD,OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. .LOCATION, OF INSTALLATION /:Jk/}~;"1r-')I.l $+ I . LEGAL DES~PTION 170~J /~3 () f;50f) J!JB DESCRIPTION/; i \1 ,,' "2"It/t:f( ~/, /J ~ A &c/I ) 1/ A./ I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor__~~ ~e~.~ Address (f- () 60 K " 4 q '? '\ . Ci ty ~ "'J P..__ Phone ~fb -l.. ). 3(" . Supervisor License Number ~ c; q J 5 Expiration Date / D -1- q,y Constr Contr. Number /oa>cf4 Expiration Date / J. -J-') - 'r C, Signature of Supervising Electrician d:"J ~ ~, .JJJ...f r, . r-. / D. Owners Name AlA-V f" /lJA A/r.-M ~~' / Address 1:7 Jlo rJ~/P{:;'Il./ - (j . Ci ty YI'l.AvJf; y~Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: D~T~~---~:{~-~-~----------------------- RECEIPT #: 2;3'1 ~ RECEIVED BY: ~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home- or Modular 'Dwelling Ser~ice or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less l 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 <;()OV C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less $ 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 Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 6 E. 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 $ 35.00 $ 2.00 ,/2uV not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 Jam] 3,ID ' l.~~ Cs b . Cf(r?