HomeMy WebLinkAboutPermit Electrical 1998-3-16
The fOllowIng. .
ZOning, and d proJect as SUbmitted h&s .
approval. . oes not req~ ap&cjfjc ~~ ~~ow;ng
. ~on;1l{L let V
Date)- } ( ~t'6
9747] ..
72~'1~~--D hi
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LOCATI~ O~lNSTAL~TION
(f1?IJ u) nn_lJ
r1G~~O\ro[
\ JOB DESCRIPTION f\, (\ .
',_U'J\~ ~~)tQr l~
Permits are non-transferable an~xPire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. ~.
CONTRACTOR INSTALLATION, ONLY / .B_. .
Contractor
/
City
Phone /
./
NU~
/
Supervisor
Expiration Date
;onstr Contr. Nu'~r
EXPiratio~~ ..
Sign~ of Supervising EIe
o~ers ~~ ~~~~
Address 98s e ~ ~)JU
Ci ty Y <<4M- Phone 43{ ; 0 l~
OWNER I~TALLATION
The installation is being made on
property I ovn vhi~h is not intended
~or sale, lease or rent.
Ovners~Signature:
DATE: '3- 110 - q 'K
RECEl'PI #: <9-'1 0 ( IS
fu~CElVED BY: -I<LJ
----
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C' gOf/~
3. COMPLETE }~E SCHEDULE BELOIl
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
C. Temporary Services or Feeders )
Installation, Alteration or Relocation
4()
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'.d Home. or
Modular.'Dweliing'
Service or Feeder
Services or Feeders
Installa~ion, Alterations
or Reloc~tion: .'
200 amps or less
201 amps to 400 amps
~01 am~s to. 600 amps
.601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
Items
uni t.
Cost . Sum
S 85.00
S 15.00
-$ 4'0.00 .
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
l
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or E~tension Per Panel
,.
Miscellaneous (ServiceJfeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with-Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
'5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
S
$'
S
$ 36.00
40.00
;()~OO
. /~D
4 ~.:JIJ
4D.00
40.00
20.00