HomeMy WebLinkAboutPermit Electrical 1997-4-23 (2)
Th~ following project as oubmitt6d.~ns th~'fOllC'Nin~
. zoning, and does not require speclilc Ian use .
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zenina C (
9747;J~ J-i..h3/ qt;.
726~j""6~~-. ..
. Authorized Signature
1. LOCATION OF ,INSTj\LLATION
111#b 0. 1'A~,
LEGAL DESCRIP1':J;ON
.1-1 (J1J 1J0lJ-{ /)(J{t}/J 1_
, ,~, ..D.Ef.~l'TION .
~1J\iL 'irk- LllA-'11 <?1t1JiL
u '
Permits are non-transferable and expire
if "ork is not started "ithin 180 days
of issuance or if "ork is suspended for
180 days.
.2. CONTRACTOR INSTALLATION ONLY . . .B.
Electrical contractor[Vl~n ~
Address ~D4 3eWxRWl sr
City eu~. Phone :S~-II~Qq .
Supervisor License Number 3.:)~ >n0--
Expiration Date I QQ0, .
Cons tr Con tr. Number
Expiration Date
Si~~~
O"ners Name
Address
City Phone
01lNER INSTALLATION
The installation is being made on
property I o"n "hIch "is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------~::?-;;:~-;;------------
RECEIPT #: /' ~b
RECEIVED BY:. /A'~'
'/- -
01q~
ELECTRICAL PERMIT APPLICATION
6-
J1fYl
Ci ty Job Number
Of 1 0 fj~1
3. COMPLETE FEE SCHEDULE BELOII
A. Ne" Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $.15.00
Each Manuf'd Home. or
Modular .D"elling
Service or Feeder $. 40.00
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
R~connec t Only .
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary' Services or Feeders '.
Installation, Alteration or Relocation.
200. amps. 'or less
201 amps to 400 amps
Over 401 to 600 a~ps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
E.
One Circuit ..$ 35.00
Each Additional
Circuit or "ith Service
or Feeder Permi t $ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted Energy/Comm .
40.0'0
40.00.
20.00
36.00
.5.
$
$
$
$
Aft <-.
f.'vv
l.l"iJ. :w
<<0-"
SUBTOTAL .OF ABOVE
5% State Surcharge
.3% Administrative Fee
TOTAL