HomeMy WebLinkAboutPermit Electrical 1998-6-8
l\l\'. \
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 ONLYB.
Electrical Contractor .<;'/lVt:: ~A/ ctFt.Y;
Address~dY d31.5C/
. Ci ty ?tI~If/L Phone 3'1~ 'I12.R,
Supervisor License Number ~~rJr-~
Expiration Date
Jtl~/- ?tf
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~:-:~~-Tit([tq~x;~~~~-----
RECEIVED BY: '[', V~
. , '\
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'
$ 15.00 ~tI~~
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 4'0.00
,.
$
2.00
. '.. .'
zoning, and, d~' not:" SU,bmltted has thefolfowjng
approval, . -..,u re specific land use
Zonr~ \It V
DateialX 1'1 0 . ~ ~O~~ -
225 FIFTH STREET Auth9[~ dS' (\ ~ \T~~ \CO ~hCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~ It ll,gnature..u.N\. . 9\f(.."\, ~~ -
INSPECTION REQUEST: 726-37~. ';(.t>-\'\'~"~\CO<(v<f- ~Q~O%ity Job Number /,'lJ -~~4
OFFICE: 726-3759 O"'\~ "'...~S ~f(..'\ ~O~ ' ..
_~_~c..?<(,~\'l\ t> '\j~\j t>-~ COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~~OO ~t~ R- 'CO .
/-:>/JS C/f";{/HC~~~O _"'fX:..~O ~O~A. New Residential-Single or
. - - ~~'(;.\ - :-I. \'~ Mult i-Family per dwelling uni t.
LEGAL p~SCRIPTION cP ,ro'V \)tf. Service Included:
-'2.IJ.2~~Z-g ~25~ Items Cost Sum
JOB DESCRIPTION ' 1000 sq-.ft. or less I $ 85.00 1'5.00
-JLE-.t(/ ..J/If,"lk "kHf//,V AJtZ!lI! Each addi tional 500
sq. ft or portion ..,
thereof t?'-
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
C. Temporary Services or Feeders
Constr Contr. Number ~~t$~J7Installation, Alteration or Relocation
Expira tion. Da te ,;~5"-/~'- f'l200 amps' 'or less $ 40.00
,/. 201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
Address ~ 3 t' _ ~ _ t:?nt'{/,"--as.Q-- New, ~lte~ation or Extension Per Panel
() I 71-')//lV Vi' <I"'J---One CHCUlt $ 35.00
Ci ty _-r~!a<Jj)t'ttJ-LPhone rl.// - / 2-tJ / Each Addi tional
. Circuit. or with Service
,OWNER INSTALLATION or Feeder Permit
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
o " .
5% State Surcharge
3% Administtative Fee
TOTAL
$
$
$
$
11.5,(7b
_'5. -1 e;
,"f. 1/5
I:J. 1.'2-0
40.00
40.00
20.00
36.00