HomeMy WebLinkAboutPermit Electrical 1997-2-5
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zoning. and does not require spec Ie li:l.flO LJ:!lU
approval.
Zonlnp lli V
Dd..~ ,<{ ~ q tJ NOT\CE: ,HE WORK
225 FIFT~J\~SIgnalur._0 ~ _ fE'lU\I SI-lr>.LL EXPIRE IF EU:~AL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 I "I;" NDER ,HIS PERMII
INSPECTION REQUEST: 726-3769AU,HORIZEDU BANDON!':IiJ~Bob Number 9 7//tJ..s-
OFFICE: 726-3759 ME-NeED OR IS A
COM. ' p~~OD COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION ~.~l" \~ f'b.'! . iO I '
J'7~ . ~ /64" AI ?~ ~ . A. Nelol Residential-Single or
. -" Mul ti-Family per dlolelling uni t.
'fr.roo:t2!:!?1Jr;O](oO / Service Included: Items
~-
JOB DESCjUPTION
flew H6WSe
Permits are non-transferable and expire
if 1oI0rk is not started loIithin 180 days
of issuance or if 1oI0rk is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor C;n/.,. v/ew
/
Address Po O. J8 ok '/0$9.3
Ci ty L;:&.IJ9--- Phone ,? /-/ ~ 7 ~
./
Supervisor License Number 2/91$
Expiration Date Jt) -/-9tY
Constr Contr. Number~' ~~
Expiration Date C -1.;1' f8
Signature of Supervising Electrician
~ ff!:~ ...
Ololner s Name:]J2 rr----/2.ilJ.i.O
Address 3q7 ~ Di/fCV'lL"A ()rJcZ
City 6lA.9~hone 3l./L{ -Qfr9'
O\INER INSTALLATION
The installation is being made on
property I Ololn IoIhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~-~Jt~;7'~--------------
RECEIVED BY: - '-h./A/I fA ~~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .DloIelling
Service or Feeder
.B.
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
I
2-
Cost Sum
$ 85.00" 1,5 -co
$ 15.00 30.{j)
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or RelocatIofl
200 amps. 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
..
Nelol, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or loIith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
1/<;.00
'\.. /"
-:I.,.l[\
I .1 U. LC )
40.00
40.00
20.00
36.00