HomeMy WebLinkAboutPermit Electrical 1996-12-4
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SPRINGFIELD
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225 FIrm STREET Ion\f'9'~ ql./ ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477approv, lA~ /J/_ / '1/ /),
INSPECTION REQUE'ST: 726-3769 zonil"",'" ll' t^. Ci ty Job Number -{ f?//o( {t?v/
OFFICE: 726-3759 ~- _____
Onle naluro_l.-COHJ.5LETE FEE SCHEDULE BELO\1
1. LOCATION OF INSTALLATIONJISnorilr-O Sill
~t(;~ S Pl/~-I- .,. A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
LEGAL DE.?5PTION
/70~ '=3-2 nft? '6tJn
A<JB DESCIU~TION
V /,,, 'VI'",! f{2,
Permits are non-transferable and expire
if york is not started 'vithin 180 days
of issuance or if.vork is suspenaed for
180 days.
Sitrature of Supe
(~~O'
~w~~rs Name M {i-artetlS ,J ~_
Md ress J L( roL{~lf 05~t'lN +- s-J-
Ci ty~nh~t lri Phone Id 0-6~q
OIlNER ~ALLATION
,
,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
------------------~~------------------
DIrTE:- 12 -f(4lO .
RECEIPT 1I: :;L,;.:p~
RECEIVED II Y: l4<'
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 Dvelling
Service or Feeder $ 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
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
2. CONTRACTOR INSTALLATION ONLY n. Services or Feeders
r(L C"\ ..i _\' l\~, Installation, Alterations
Electrical Contractor--LLlf ( ()CTf'l\(\&,1J ~Cor Relocation:
Address ~}') IS- P (Y\ So-i\~ 0, 'e eA 200 amps or less
City~f\\Q.&' Phone '1~q-'~b~ ~g~:~~~~~igg:~~~
~1 , 601 amps to 1000 amps
Supervisor License Number 3,9,::)3 - S Over 1000 amps/volts
If Reconnect Only
Expiration Date I qS-
Constr Contr. Numb~r 'J,D- 3~" C
Expiration Date II/ q S'
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BtI
above
Nev.. Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith service,
or Feeder Permit
$ 35.00
.15: {}()
2, (}f)
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightinp $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 37 (J/)
5% S ta te Surcharge I. R.':;- -
3% Administrative Fee /,//
TOTAL qq. "0