HomeMy WebLinkAboutPermit Electrical 1998-1-12
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ZonlTl9_' NGtIC :
Dete1.l.l.c1 it1- THiS PERMiT SHALL EXPIRE IF THE WORK
Auth~~S,gn~ure-A )'^'\UTIo\QRI~9 U~lDER THIS PERMIT IS NOT
, _ COMMENCED OR IS ABANDONED FOR
225 FIFTH STREET
SPRINGFIELD, OREGO~trotSQ7DAY PERIOD.
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
405 A ST"IS',PT A.
LEGAL DESCRIPTION 1103 35 3IG~Coo
01 AT€.WAV, USALl ,.....>0 r .so1EX..,
I , --'
JOB DESCRIPTION
FI~t AII'IoR,,,,- "'iI.\i'YY\
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
Electrical Contractor
Address
City
Phone
Supervisor License Number {D7?:. PS
Expiration Date \D-Cl'6
Constr Contr. Number
Expiration Date
;:A:.r~up~r~:~~n.gL Electrician
y :~'~fP\l''-J1-t".<:,-~ 3Chf-nl",
Address S "-S fl') I II S\;,
CitY~'~1rlC::;II\Phone 'li+ (.,3'7.5
OYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~-~~-~-----~-------------
~EIPll 1I: I J',J-q '9','1
RECEIVED By:r' - iYVA r ).-Ar/ u
ELECTRICAL PERMIT APPLICATION
City Job Numbe/1K031' I
3. COMPLETE FEE SCHEDULE BELOI/
New 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 'Dwelling
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 terns Cos t
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 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 amps
Over 600 amps' or 100u vol ts
D.
Branch Circuits
New, Alteration or
$ 40.00
$ 55.00
$ 80.00
see liB" above
','
"
Extension Per Panel
l' w
$ 35.00 :3>5-
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Camm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
'1100
_s.55
~./3
ql..c.'f.'
3.k.:.