HomeMy WebLinkAboutPermit Electrical 1998-5-27
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~O~ATION~OF INS~LATION
\Sf)~ \'f\ (\Q.V. .
LEGAL DESqwION Of) t(f\f'\
\ "1()?'{?A1)'~ "J 'I/~ U
~JOB DES~\OF' ((\" n
~ ~~N\~ \^_'U.Ll.,Q1C /' ~~W)
Permits are non:-transferable andOexPire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days. .~,
City
OVNER INSTALLATION
The installation is being made on
property I ovn whf~h is not intended
~or sa~e, lease or rent.
Ovners;S~gnature:
----~--------~7----0:-------------------
DATE: . .5 J.. r I 78 .
RECEIPT #: A? {)-v I fo ,
Rl~CEIVED BY: - IJ..ft Uh"J
, ELE.C:l1UCAL PERMIT rfPLICAT~~N
Ci ty Job Number ~ ~\'J\{or
COMPLETE FEE SCHEDULE BELO~
3.
A. New Residential-Single or
Multi:-Family per dwelling uni t.
Service Included:
_ I t ems Cost Sum
1000 sq. ft. or less S 85.00
Each additional 500
sq. ft Or portion
thereof S 15.00
Each Manuf'd Home. or
Modular.'Dwelling'
Service or Feeder S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,.
New, Alteration or Extension Per Panel
Miscellaneoti~ (S~r~icejfeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit Or with-Servic~
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE"
5% State Surcharge
3% Administrative Fee
TOTAL
'CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
~ Installation,- Alterations
Contractor' / '~r:.J....Relocation:
/ 00
" !.~ amps or less
'" Z : i!' ~O~amps to 400 amps
" ' Pho e ~. ~~.amps to. 600 amps
~ /?~J It.., amps' to 1000 amps
Supervisor Li nse N b~r {!-' b er .1000 amps/vol ts
I..t~, i.....'J:::' ~econnec t Only
Expiration Date ,.:::;, ~. ~.
~ -:i.~ l!l'f:f Temporary Services or Feeders '
Number . ~,;~,..:>:~~.~) 5 ,g,~ ffinstallation, Alteration or Relocation_
4;. .~. 01 <:5!if. 4D
Date .' l~::' 45'.~ ,.&~. 200 amps"or less I s 40.00
",) - ." -~ 201 400 S 55 00
. . ~.;., ~. ..;.};i {;j {f' .' amps to amps .
of Superv1s1ng Elec ifc~"~ ~ Ove~ 401 to 600' amps S 80.00
~ cr A'" Over 600 amps or 1000 vol is see "B" above
G~ .
\ I \\ \ ~ 'l" D Branch Circui ts
. O;,roet's Name ,\(\Lk ~\:J\l\.~0~-.AJ). .
Addres~]~0~C~~f' fuTerYw\t ed
Ci ry } Ui ~ ~ Phone ~ 2.. p'~ '2PI]
$ 35.00
$
2.00
not included)
s
s
S
$
4n.CD
4.m
r. t\ ()
<t ~ . ~..r)
40.00
40.00
20.00
36.00