HomeMy WebLinkAboutPermit Electrical 1997-5-12
The.1oP{)\td~~j. ~\rcl;>;;:: L: C;' I,h- ~.~::' ... : '
In;"~ln!.:. :'(~r;. (~~~..-;.. ; 'C~ :,jG~Jj; ;:; , -i. ,
appi'OV;;1.
Zo~l,-~~J~~_.
225 FIFTH STREET Ome
SPRINGFIELD, OREGON 97477 . ,...
INSPECTION REQUEST: 726:4JfllgGd ':>19r;!::11.:i~__.
OFFICE: 726-3759
1. LOCATI~~ ,OF IGTALLATION
!5"55 W~+' {!M,ftlMnial PJvd
LEGAL DESCRIPTION
/703J7L/3 06f?'tJV
JOB D~RIPT~ON
(f MllOdP I I fa!tiR../ I/;J hAf' ./
1-
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor --r6=/I/ t!fk c-h.../c
Address J95I? /#t!-!?-/~;;z...-, tzo/
. Ci ty /3J4G/6 /OD/'I-; ~Phone S'lJ-7J:2h~ 071./9
Of( '9 75-ACj ,
Supervisor Litense Number ~'";;Jc;/\-c;
Expiration Date /!.'?-~ /9f?
Constr Contr. Number /S--J~~/~
Expiration Date /['?//./t7./
Signature of Supervising Electrician
~~
Owners Name 7//c>#J>? 5' &;_ /J.J6---dtJ.e'~
Address jC;~ #7'"t4V~...... fLJ
Ci ty e~9/1- ?D",,/ Phone '?4 -6 7~ f
,
OVNER INSTALLATION
The installation is being made on E.
property I ovn vhi~h is not intended
for sale, lease or rent.
Ovners Signature:
. ~ATE~--Zy~~\--~~--c---~-~\~A; 5.
RECEIP'flff ' }'\"~ g, .
RECEIvED 'BY: ,'~"\.'\.\jJ~'" ',', ,,'
ELECTRICAL PERMIT APPLICATION
-~~-€H'y,vJob Number "'-(\llj ~11
3.
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 000 amps
601 am~s to'1000 amps
Ove~ 1000 amps/volts
Reconn,ec t Only'
C.
Items Cost
Sum
S 85.00
S 15.00
S 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps'~r less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. B~anch Circuits
$ 40.00
$ 55.00
S 80.00
volts see liB" above
Nev, Alteration or Extension Per Panel
--
One Circuit X $ 35.00 35
Each Additional
Circuit or vith Service 7<;5
or Feeder Permit -3!i $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/R~s '
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL " .-",
not included)
$
$
$
$
/ 13, Of)
5"b5
;:?; ~q
'(/.12. D'-!)
40.00
40.00
20.00
36.00