HomeMy WebLinkAboutPermit Electrical 1996-10-9
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The following pro . ... d
zoning. and does not reqUIre specific Ian use,
approval.. J\I'\ D 1l/
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9\J.4I)J{...ad Slgnature~Jl.;--
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. 4f~~~4~~AL^S\tr
l~ DES~PTION
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\ JOB D ~CRIPT. ION ((\ . (\
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Permits are non-transferable and expire.
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
~. CONTRACTOR INSTALLATION ONLY
El ctrical Contractor ~
Addre~ . '~
City '" Phon~~
superviso~icense NU~
Expiration Da~~
Constr Contr. G~~
7
~e '"
of Supervi~ing ~Cian
o:ners Ne~1'\ ~IIlO1Y.uL D.
AddressUJ~ ,~ \~\~ '
City~ Phonel"'1.~
O~ ~~LATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:__ .. /t:::?'/"~6
M.\.A:UJ:'T i: L ~y~B
RECEIVED BY: - ~~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number c\. \0 \ \ 'L?1
3. COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling 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 Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
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 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"oT less l $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
4D
above
Branch Circuits
,.
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
,$
$
$
$
~:~
'.:J.{J
~.~
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
. "
appr~ova~on.ng D fl--
225 FIFTH' STREET Date q <: ELECTRICAL PERMIT rLICAW5
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-8il<6~zad Slgnature--.~. l ~b Number (g I
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOV
l~f~l{IJt~
IlftJt:~~fTI?J310 ~
~OO~
L
ON
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 B.
Electrical Contractor "Rose.~or~V\
Address gqqrrto . L:xiu L-an~
...J .
City tOqc!2.et\e.; Phone toBto-OqO.s
...,
Supervisor License Number / 5"<2> S-.
/0/ I J qt!3
5#31
9/BO/tqe
Expiration Date
Constr Contr. Number
ExpIration Date
The installation is being made ,on
propetty I own which is not ~ntended
for sale, lease or rent.
Owners Signature:
DATE: .I~....9~9h
RECEIPT #: .2~ Yc:>.A
RECEIVED BY: /J.--.'..?~ -
//"
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: '
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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 1000 amps/volts
Reconnect Only
Items
~
cl
Sum
1'70
.:}f)
Cost
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
'Limited Eneigy/Comm
'. One Ci rcui t
Each Additional
Circuit or with Service
or Feeder Permi t '
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge,
3% Administrative Fee
TOTAL
$ 40.00
$55.00
$ 80.00
see "B" above
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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