HomeMy WebLinkAboutPermit Electrical 1998-2-2
.
zoning, a
approval. ..&.;I
zon,ngj'f)?'v..
0tI.<t ,.-'2.---q"{ - ,. . ~~" .('~
t-? c~. ,~'?\ ... ..
225 FIFTH STRM~."': Slgn8IUre ~~ ~\i S~I'''''' ~\~.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 _.'\S,?C~ 1j~\)C~ r:)l:j\'~. 9.-
INSPECTION REQUEST: 726-3769 \. . .-.'i'-I7.C\) ,,\~ t>-'Ot>-~ City Job Number -1 II tJ.5 .
OFFICE: 726-3759 ",ljll'.' 'E.OO<' . .
- Cp\JIWlE.\-.\":' :-i ~~\~MPLETE FEE SCHEDULE BELO\l
l.;I"OCATION OF IN~LATION . >I ,\l,(\l)~
(;;f/: ?~~ ~~l. ... 'A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
C c. # Installation, Alterations
Electrical Contractor .I!JtJ,M /~41Ii'?t'/~/I4I or Relocation:
. Y;?ckP-A/TV.
Address !CJ. tfO);t: ~/b 200 amps or less
/J) ~ 201 amps to 400 amps
City c..:..~1:: SWEL<.. Phone 8'2:~ 7-?.rS--- 401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
JJfff1!/<,?}5Ft~(on {
(,1 JOB DESCRIP1ION
i!ul?r /w' // /I Ca u ':'-'::7
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Supervisor License Number
'T--;<J r J ~
Expiration Date --
Constr Contr. Number 0' r 'Jrt>
Expira tion Da te /( - / r - 9l?
Sign~;s:e&Z::trician
Owners Nam;! () fh .P niL.; V
Address3q 7_ ~ Di } (o.rtL~ j')(J(i.
Ci ty ELlc!fJ ~Phone 3lfV - 9r';,c;
OIINER ~NSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent,
Owner~~ignature:
-------------9- --- -- ,/
DATE: 7. , Q...
RECEJ.PT It: I l:f ~ \f
RECEIVED BY: . Wi:</L--
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular .Dwelling.
Service or Feeder $ 40.00
....-
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
'"
.~
<I).
C.
Temporary Services or Feeders .
Installation, Alteration or Relocation ~
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or. Feeder Permit
$ 35.00
'-.
:,
$ 2.00 r-.
i
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
v
$ 40.00
$ 40.00
$ 20.00 JIHiO
$ 36.00 _
')D.'[)D
I.(LU
. rt;[JniT
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
. -
J-I.{('V