HomeMy WebLinkAboutPermit Electrical 1997-4-1
"
--
SP._.....CFIELO
, <'ubmYltfld hr.a thr' Y0'!owin!
The following proJec\ a:q<>Ui":a' SD:;;~;::C !::'l.U L'(,i)
zoning. and does no r . t-
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning Ul)tl q 7 n' J C I
INSPEctION REQUEST: 726-3769 I Cr-'1 ' . Ci ty Job Number '-"I ~
OFFICB: 726-3759 ' Dale_4=:- - I 1-
, ' A"jhmized Signature_bJ. ~COHP-LE~E-F'EE SCHEDULE BELOY
1. LO" CATION OF WSTALIrATION 17
2?x\ (d. \"-ent-CYlYlI'OV A. Ne\l Residential-Single or
- v ' Multi-Family per d\lelling unit.
Service Included:
/LFfof'5eBfCflltJ 10 1 () 0
JOJ}/DESc,RI~ION
.N ~ar rurrO
Permits are non-transferable and expire
if \lork is not started\lithin 180 days
of issuance or if \lork is suspended for
180 days.
I
i. 2. CONTRACTOR .INSTALLATION ONLY
. ,.
Electrical Contractor BUILDERS
Address
~Qi MONROE (qS Uadl~fl')
Ci ty ElJGENE
Phone 485-0922
Supervisor License Number ?g70S
Expira tion Date 10/l/9E
Constr Con tr. Number 04296' ~{..
..
Expi'ration 'Date 12/10/~'7_
Sign(1Z1~u~ctric:'"')
O\lners lame 1S " \ \ ,==- Y'C('Le'-.. ...
W. Cen1mr),.C07~
Address Z ~
Ci ty c.;p~)cl
Phone
OVNER INSTALLATION
The installatiohis beirig made on
property I O\ln \lhich is not intended
for sale, lease or rent.
Owners Signature:
. fi~~~L[JTr~J::~~-----------------
RECEIVED BY: Cl. Viii ,./L ' ,
. ,
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular D\lelling
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
C.
.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
- $ 40.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55~00
$ 80.00
volts see "B"
above
Ne\l, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui~
Each Additional
Circuit or \lith Service
or Feeder Permit I
E.
5. SUBTOTAL OF ABOVE
5% State Su~harge '
~ ';:;.'C.( D - J4dfJ,;f'\
-rO-taL
$ 35.00 35.00
$ 2.00 7 . DO
not included)
,$ 40.00
$ 40.00
$ 20.00
$ 36.00
~7-.CD
I .'t~
} - i I
3Cf-Cf(p