HomeMy WebLinkAboutPermit Electrical 1997-11-19
. The,!ollowlngproject &s Sl~bmitted,~os th.'J fol!c\':ing
zonlJlg, ~nd does not rsqUlie specl;:/;) Ie-.nd U-::::l
approval.
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225 FIFTH STREET ~.OnJllQ ~ (- . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD,OREGON 9V.'4i1JLLL:l7....~ /17 I ~ L{ 7
INSPECTION REQUEST: 726-3769.' Ci ty Job Number VJ' ::>'.
OFFICE: 726-3759 AutnOf"iZOO Signature .}:JfY'- . .
;3. COMPLETE FEE SCHEDULE BELOY
1. LOC~ON OF INSTALLATION 'VI')
l~/ CA VAL ~-r1! ~ ](~dew Residential-Single or
-fV)} <S',()~ ~lti-Family per dwelling unit.
Oa JYa ~4;; Service Included:
-1~ ~ VJ'&' Items Cost
~ ~,~ ~
'tI" % ~~q.ft. or less
4y O..f' h ~di tional 500
.~ ~ .s~f~~r portion
Permits are non-transferable and expire ~'" ~~e~f<<-h
if work is not started wi thin 180 days ..{ Earlfpt1f~f~ Home, or
of issuance or if work is suspended for Mod~~~e~ng'
180 days. Servi~o~1t~er
. 01> 0;-
Services or Feeders
Installation, Alterations
or Relocation:
LEGAL llESCRIPTION
Ilo~~q2~ (~O (
I I
JOB DESCRIPTION r _ _ _ L.......
-r~. j~
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor t..ft f/I;/l(lt5 /il.J;er
5Ht::U.1 ~f1e.
Phone 7'f7.-oY/(
Address 4 "'3
Ci ty JPFD
Supervisor License Number 30b'- - S
Expiration Date /0-1- If{ rr
Constr Contr. Number C:?/C(;?1 ~ .
Expiration Date
L- .Cjr- 1/Y
Si~~ture of Supervising Electrician
~::J. ~d_
Owner ame ~ c:; h 'e...,
tftJ-?<r-
~
Address <;~~ ~
Ci ty 5fJy,' t\'i-A.I.1.4 Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~~gnature:
DATE: \9. ~~~ 199-'
RECEIPT #: .:A~ )") 2gl)lD (
RECEIVED BY:
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
Sum
$ 85.00
$ 15.00
$ 40.00
!
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
l
1
.'
J
,
\
\
'/.
,
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
D.
Branch Circuits
~
$ 40.00 ~
$ 55.00
$ 80.00
see "B" above
volts
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
. $ 20.00
$ 36.00
40-;!?
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