HomeMy WebLinkAboutPermit Electrical 1996-1-17
~.
.
-.
e:.
ZoninQ I '" rJ
225 FIFTH STREET - - 1"--' ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 974770 Dme~0
INSPECTION REQUEST: 726-3i.6Ilortzed Slgnatu Ci ty Job Number q "t:9C9 ? D
OFFICE: 726-3759 re I~ ,"
3. COMPLETE FEE ~CHEDULE BELOV
1. LOCA1;l1lN OF INSTALLATION
Clrx:l -J'1?E-<"(V/i7!- iJ.4tJE
LEGAL DESCRIFTION
/7?J "5 '?, of' / t'
/)i'A!h/ L
JOB DESCRIFTION
~A-7 T''''''-~
- ,
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTAU.ATION ONLY
Electrical Contractor ADT ~eC':lIri tv ~vc:t.ems
Address 1501 Pearl Street. S..itp R
Ci ty Eu"ene. OR
Phone~<fi7_1<1<
Supervisor License Number R] 777.TT,!'
Expiration Date 10/0]/96
Cons tr Con tr. Number 59944
Expiration Date 04/79/96
Signature of Supervising Electrician
_\J K V~
~:s Namemul ~';:'LL Irlr-=Y8? !-/oFr-
Address t]f)q .fiF-~(24 7f- LI /HJ~
Ci ty<,fJA '1 0 e. (hJ~1 Phone.-'ldJ _ 1--4. '-lJtllJ
OIINER INSTALLATION
The installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-------------------~-~--------
DATE: ///7 J'c.
RECEIFT II: ':2- '7~
RECEIVED BY: ;1//~
P'K ~ , -
A. Nev Residential-Single or
Multi-Family per dvelling un it.
Service Included:
It ems 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
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00 .
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600.amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder not included) .,
-Each installation ,
Pump or irrigation $ 40.00 ,
Sign/Outline Lighting $ 40.00
Limited Energy/Res 1 $ 20.00 ZQ.....QD
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
1.00
.60
71 6n