HomeMy WebLinkAboutPermit Electrical 1996-10-17
"\iGFIELD
.. 'fhe, following project as sUbmitfed nStS +h~ fr.'1owing
zoning, and does not require sp0~iii';; !:snd l!.;e
approval. .
Zo'ning-!Y1fJf!- ( 1.t:\
225 FIFTH STREET . Date/fJ -/1 ~(C/
SPRINGFIELD, OREGON 9,7F7 ",,<,,' l aiM
INSPECTION REQUEST: A'j2~ETio91nature ,., .
OFFICE: . ,726-3759 "
1. LOCATION OF INSTALLATION
"< ? 3 '3 8A-L) V] /h~
(,' / -
LEGAL DESCRIPTION
/705 2-3 &-0 CJ@(;;;OL,
JOB DESCRIPTION
~r ~~t"'~ frt;.1.. I/M.(~ /J!NZ5
r - ,.
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.
Electri"cal Contractor \JeL\.lv ~ fleS~tlc.
Address fD. ~O/l: 1;9~
Ci ty f~JelVt
~14Cl Phone CJ'j ~ .. 5"303
Supervisor License Number ~~I~ 5
Expiration Date /O-\-Lf$"
Constr Contr. Number crq S-ltt
Expiration Date ~ .20. <lb
Signature of Supervising Electrician
b-~
Owners N~me' ~~ (7/MI,
Address 3 i..( 0 S eo t d 1I \);-1> (11 1..-. h
\
City~Y\f~l..J Phone ~~~-@,l,~f
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------~~---~-------------
DATE: /0/ /7/70 .
~l,t.J.i?T #: I ":2-.5 5& ~
RECEIVED BY:~/;:r'Z
\ .
. '. ',?":';::".,
ELECTRICAL PERMIT APPLICATION
9 (p(::lC) ] 7'
l;;ity Job Number
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 $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular. 'Dwelling
Service or Feeder $ 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 1000 amps/volts
Reconnect Only
L-- $ 50.00 g;r~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00;
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1090 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'~
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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 50 (H)
5% State Surcharge ~.5,o
3% Administrative Fee /,~O
TOTAL ~ 4.tJlO
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