HomeMy WebLinkAboutPermit Electrical 1997-11-19
SPRI"'GFIEL~D' '
The ,"!lowi'" "'0;." .",b",itted ,!"" ''''! ";"< ~ -.. ~"i 'i '
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225 FIFTH STREET Oa 6'0' -=-l-(- ,
SPRINGFIELD, OREGON ~7~~ ,~=~"" (\ '^^
INSPECTION REQUEST: ft"~~'1~d ~ature I \ I Y '-
OFFICE: 726-3759 0'00, ~ u~ ~(~
, - ~~ O~ ~~~ ~h 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION ~ {sl4^ ~ ''(C'/,j
ill <l ~'~,;(>.. 1t,)} New Residential-Single or
U -. Va ~~ ?-~lti-FamilY per d'Welling uni t.
LEGAL DESCRIPTION' ~~ ~/.~..~vice Included:
170 -3 L c; 2...111 2.0 <0 ' ~..c-a t91tO 'If" ,Items Cost Sum
,~ ~ .
1000 sq. ft. or less \ $ 85.00 ~'j.-
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling'
Service or Feeder
JOB DESpITPTION ',. ,I
J/ ~ -t:b::u or:. ~ ~ t!-i /t..-6I
Permits are non-transferable a~"expire
if york is not started 'Within 180 days
of issuance or if work is suspended for
180 days,. '
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Con tracto-;B~l(,s 2: If:r-.
-
Address.} r 70 tV l 5T '! / I ~
City
Phone
Supervisor License Number . 9 tftJ S
Expiration Date / 0 ~ 9 9 -
Constr Contr. Number :;''/35' I
Expiration Date {;-;}- f;'" 9?
~~"0 m:;;~eC~cian
o~~~rs Name \.Jfl~ V\A.I~ :b1oA ;~~ D.
Address i'o Bo-,t iCfJ (7l-
f
Ci ty CSpr 1\ 1\.4 {:" LJ. J.... Phone.2!l b'- ~ c{-
OYNER INSTALLATION
The installation is being made on
property I ,o'Wn whi~h is not intended
for sale, lease or rent. '
Owner~Signature:
---------------------------------------
DATE: I &f rJ~~ 1"iC::; 7
RECEIPT #: ~L1..--"'.a 2~~
RECEIVED BY: ot<w -
ELECTRICAL PERMIT APPLICATION
C;'\.~b Numb:r 0LI3 D
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
Jt
of
$ 15.00 30.
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Service~ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
,.
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Ea~h installation - ,
Pump or irrigation' $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
rJ I 5. -
~ <5. 7~
~ 3. cI s;-
~ 1011.{.. a.. 0
One Circuit
Each Additional
Circtiit or 'With Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00