HomeMy WebLinkAboutPermit Electrical 1996-8-1
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The following project as submitted. ~a$ the foil
zoning, and does not require specifiC land use
approval.
Zoning (\I1A2J(...
225 FIFTH STREET Derte~I"ctlP_
SPRINGFIELD, OREGON 9 7 4 77 -Au1h r1 ad Signature V(1V\
INSPECTION REQUEST: 726-3/b:Jo Z "
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
44'1 ~ Curto rLJ
11 oGr?DI~PTD~ 1JR)
JOB DESCRIPTION
,l,~f\..O_' ~~n~~
Permits are non-transferable and expire
if ~~rk is not started ~ithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor (~~ 8~ l;~.
Address p, O. ~rrJJ l~g1-.
Cit~J~ilit} Phone 141-~1.%
Supervisor License Number ~~
Expiration Date 10 -1-q<6
Constr Contr. Number 03gttQ
Expiration Date q-I-qb
Signature of Supervising Electrician
~U"~
~ D.
Owners Name 8 Clr\J_, tf1' (\~-"
Address 4~1 g ().Qto rL>
, CitY~.r\1~~Phone'141n"";5b~3
OVNER INSPllLATION .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,
~~::-:~~~-~=~~--------------
RECEIVED BY: .~_.:::Vv<-OL
{J
ELECTRI~AL PERMIT APPLICATI~~ j
City Job Number q &/0'/17
,
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd, Home, or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
, Over 100a 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 $ 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
,.
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00 35.00
$ 2.00
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
3% Administrative Fee
TOTAL
35.00
I. rt 5
1. ()~
---3!l. ,$? 0