HomeMy WebLinkAboutPermit Electrical 1999-10-6
, d haS the \0110",ln9
, \ as su'Dm1tte d use
1he to\\Qwing pf~~e~O\ require specific \an
zoning. and do
225 FIFTH STREET approval, L-- \'YlJ ELECTRICAL PERMIT APPLICATION.
SPRINGFIELD, OREGON 97477 zonlng-la-b- q 9; Q
INSPECTION REQUEST: 7~ro~7J;.Q c:p City Job Number 11 J ?C 2-
OFFICE: 726-3759 . Signature -=r-
NnT~~hOflzed 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF tRS'r A\.LE)(~~\FTHEWORK
;;/::tl"> FUoIV{c.lWf> }~f;ft,!;ERMftjStJmt ~esid~ntial-Single. or .
AlJTHO t: U,,,UC: ,," 'Hultl-Famlly' per dvelhng unlt.
" LEGAL DESCRI:m~NCEDORISABANDONEDFORset'vice Included:
~:61)7 /)?;t/.D. fH1 ar/l~~[" , Items Cost
JOB DESCRIPTION 1000 sq.ft. or less $ 85.00
Alarm Inpt?"..<^^ Each additional 500
. ' ' . A"ITEN r ~,~ '..,f,~ or port ion
Perml'ts are non-t ransferable and expulbll IOtliereof; ,aw requires l'QU".
if vork is not started vi thin 180 daYl&nnow ;.uleEa2IlPHanUf!id?Hom';!~.cn:lt'lity
of issuance or if vork is suspended f~r~~~a Ion C~?~~~~rODveUil!'ge set forth
180 days. OO~O 952-0Ser,v'1~e~Orj~F.e~.d.~FJ52_nn.
. . ~ou may obtain copies of the rUles b
2. CONTRACTOR INSTALLATION ONLY calliBQ thISer:vi'ce:sJ(or. ~F,~l!~!t~~lon" ~
number fOl]ns ta1?J:M,iion '. "Al-terati'ons
C ..... ~....11J I~UUII"'auUII
erd r" 'Reloca~!-:on:344).
C)
()
r0-
D
o
~
lI)
\)
(\j
\)
~
'"
.
1=1.' '
Electrical Contractor ADT Se~.u
Address 150Lfur' ".
Ci ty EUl!sn"
Phone 342-1111
Supervisor License Number $C;~ ,n F.
Expiration Date )0 )//:ltJO:2-
Constr ContI'. Numbet' 59944
Expiration Date_ r; /7/;2tJO(
Signature of Supervising Electrician
~~~ ~~,
~
Ovners Name~/1.h_tl:~ a.,'/e f!o..'d::-
I
Address') I J tJ t:'t1...4"/~/";
Ci ty Jt</tJ'r' ~ Phone '), I.{)":.. J-l ({
J
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
u"-
DATE;------~~7;i'-i
1lP.r.F.!PT #:
________________ 5.
o ~,f-vt 7 .01. J::;l
.-v
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
Sum
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporat'Y Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps ot' 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. MiscellaneouS (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 'f.'~r::
Limited Energy/Comm $ 36.00 ~_
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
Tn"".~ T
]C.
fo.t' 'l
1.0 ~
3~A."