HomeMy WebLinkAboutPermit Electrical 1998-1-29
I)'A..", <~~
r.-<-' '- -', ,""c.l'Tng Oject llll GUbmItted has Iho
zonll1q, and not require............ ...._~ loIb.~og
appTolfal. ...,...-..- lurN uco
Zoninp C. G ELECTRICAL PERMIT APPLICATION
9~~~~i6f0 "q j
Authorized SIgnature n
~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
1.
LOCATIONr?OF,4NST~LATION
7315 H. U
LEGAL DESCRIPTION
/7"'ri?~'~5"Y<_,<I1}?"'5'~
,
JOB DESCRIPTION
UvU ~
t/ r/
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 ~ ~
;'
Address 10 f Z- ~ \.::: t...-
Ci ty L:/~ Phone lzr ~/5 tlV
Supervisor License Number 7cf'5 S
12-/ ~
Constr Contr. Number t.3/37
lo/9R'
Expiration Date
Expiration Date
Signat~upe;;;;ing~
(I fJ.' . D.
O~ners Name ~ ~~~
Address ~/A /0# 0/
, Ci tyo ~ ~)"t. Phone '7 "2~../::2,/6
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE:. J~'?~,<9~
RECEIPT II: 2~~
RECEIVED BY: ~~..;.. "':l
'/-1- :;h.-
City Job Number
~. "\JlIr~EE SCHEDULE
cr7/~y"'J-
BELOII
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
ModularD~elling
Service or Feeder
$ 85.00
$ 15.00
$ 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
Reconnect Only
v-- $ 50.00 ~....I?
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C,
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
above
Branch Circuits
.'
Ne~, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or ~ith Service
or Feeder Permit ~ $ 2.00 /72
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~2 .-1>
~. /~
L"~~
~. .9~