HomeMy WebLinkAboutPermit Electrical 1997-7-2
.
SP.FIELD .."...,_.
:~~i~~~JO~i~gdPro16ct as sU,bmitted h;lG th<c b!lowhiJ
.. ~.n oas not requIre spec:Uc I-l'~a' L '
approval. I _. I '~...
zonir.gJLy
'9tli7-7-7 -;) ~17
AJ26-3769 f1
~. ....., ll.:...." ~,gnature fY1
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
3.
1. LOCATION OF INSTALLATION j :;717;',
'7\-r7 6-~A"-" aile s~1. Or . A.
,
LEGAL DESCRIPTION
II?' - 02 _ 0 t'. 4;2" 0 ~-o 0 -
JOB DESCRIPTION
.)p y 1//./,(', Ur:? ~""d'/~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electcrical Contractor_ A-",,~_
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owrners Name '~T;n, ~Y).N)~~ ft.y
Address 3s...5,/ ~./""'" ~<-
City >01'/ eJY Phone 7~~/?,93
OVNER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
1-(1'1><0 1/ IP~
6/-------------------------------------
DATE: '7-2 ~9?
RECEIpT #: ~~
RECEIVED BY: ~~.
ELECTRICAL PERMIT APPLICATION
City Job Number
~/./c::::'/:r
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps y
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 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 $ 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
D. Branch Circuits
,"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
_<=>
~.
~,--
1.8.:::>
.6"'" Bt::>
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL